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MINERVA CARDIOANGIOLOGICA

A Journal on Heart and Vascular Diseases


Official Journal of the Italian Society of Angiology and Vascular Pathology
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REVIEWS  VASCULAR INTERVENTIONS 2009


Minerva Cardioangiologica 2009 February;57(1):57-75

language: English

Evolution of interventions for complex coronary lesions

Sachdeva R. 1, Prayaga S. 1, Bansal D. 1, Bagwe S. 1, Hughes B. 1, Molavi B. 1, Romeo F. 1,2, Mehta J. L. 1

1 Department of Internal Medicine University of Arkansas for Medical Sciences and Central Arkansas Veterans Healthcare System Little Rock, AR, USA
2 Department of Cardiology University of Rome “Tor Vergata”, Rome, Italy


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The exponential growth of percutaneous coronary intervention (PCI) has in large part been due to expansion of the indications to include the procedure in patients with extensive coronary disease, multiple risk factors, older age and comorbidities. Improvement in PCI equipment, development of new interventional techniques, and availability of myocardial and systemic support techniques have all contributed to this growth. With these advances, patients once considered high risk for PCI are no longer considered high risk. This article reviews the complex coronary lesions challenges, various interventional and pharmacologic strategies for optimal results and novel technology.

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