The utility and effectiveness of the newer generation high-resolution coronary computed tomography angiography in the evaluation of coronary in-stent restenosis

Elwany, Mostafa N.; Abskharoun, Michael; Dawood, Moustafa; Al-Tahan, Salah M.; Sanhoury, Mohamed

doi:10.1016/j.cpcardiol.2023.102212

Cited by 1 publication

(1 citation statement)

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“…Although coronary angiography remains the gold standard for diagnosing intrastent restenosis, new data suggest the useful application of coronary CT angiography for diagnosing this pathology. A study published in 2024, which included 102 patients with symptoms raising suspicion of intrastent restenosis, demonstrated that in a large proportion of cases (86.3% of the patients), the CT results, when compared with coronary angiography, were able to exclude ISR (false-negative result) [68]. Considering this finding, we anticipate that in the future, CT scans will additionally assist in the early diagnosis of ISR, facilitating prompt treatment according to current standards.…”

Section: Clinical Presentation and Diagnosismentioning

confidence: 96%

Intrastent Restenosis: A Comprehensive Review

Bajeu,

Niculescu,

Scafa-Udriște

et al. 2024

IJMS

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The primary objective of this paper is to delineate and elucidate the contemporary advancements, developments, and prevailing trajectories concerning intrastent restenosis (ISR). We aim to provide a thorough overview of the most recent developments in this area, covering various aspects such as pathophysiological insights, therapeutic approaches, and new strategies for tackling the complex challenges of ISR in modern clinical settings. The authors have undertaken a study to address a relatively new medical challenge, recognizing its significant impact on the morbidity and mortality of individuals with cardiovascular diseases. This effort is driven by the need to fully understand, analyze, and possibly improve the outcomes of this emerging medical issue within the cardiovascular disease field. We acknowledge its considerable clinical implications and the necessity for innovative methods to mitigate its effects on patient outcomes. Therefore, our emphasis was directed towards elucidating the principal facets of the condition’s prevalence, expounding upon the foundational mechanisms underscoring conspicuous restenosis, and delineating the risk factors relevant in shaping the contemporary landscape of diagnostic and therapeutic modalities. This thorough examination aims to provide a comprehensive understanding of the various dimensions of the condition, including epidemiological data, pathophysiological complexities, and clinical considerations critical for evaluating and enhancing current diagnostic and treatment approaches.

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Section: Clinical Presentation and Diagnosismentioning

confidence: 96%