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Minimizing complications following stent implantation: outcomes and follow-up

机译:减少支架植入后的并发症:结果和随访

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摘要

The introduction of coronary artery stenting was a significant advance, resulting in reduced incidence of angiographic restenosis and repeat revascularization in the treatment of atherosclerotic coronary artery disease. Despite these improvements, patients undergoing coronary artery stenting are at risk of complications after implantation. Acute and chronic complications related to coronary artery perforation, stent thrombosis, in-stent restenosis and periprocedural myocardial infarction can be life-threatening. Minimizing complications through optimal stent implantation, adequate anticoagulation and secondary prevention are vitally important to provide the best outcomes. This review will address the acute and chronic complications of coronary artery stenting and strategies to minimize complications.
机译:冠状动脉支架置入术的引入是一项重大进展,从而降低了血管造影再狭窄的发生率,并减少了动脉粥样硬化性冠状动脉疾病的再血运重建。尽管有这些改进,但接受冠状动脉支架置入术的患者在植入后仍有发生并发症的风险。与冠状动脉穿孔,支架血栓形成,支架内再狭窄和术中心肌梗死相关的急性和慢性并发症可能会危及生命。通过最佳的支架植入,充分的抗凝和二级预防来最大程度地减少并发症,对于提供最佳结果至关重要。这篇综述将探讨冠状动脉支架置入术的急性和慢性并发症以及使并发症最小化的策略。

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