Heart 1998;79:541-542 ( June )
Viewpoint
Stents are used too often
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Introduction |
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We can forgive a man for making a useful thing as long as he does not admire it. The only excuse for making a useless thing is that one admires it intensely. The Picture of Dorian GrayOscar Wilde
Although percutaneous treatment of focal coronary artery
lesions by conventional balloon angioplasty has gained widespread acceptance, it remains limited by the persistence of two problems: abrupt vessel closure early after intervention and restenosis during
follow up. Stenting has become an effective treatment for abrupt or
threatened vessel closure during conventional angioplasty. Furthermore,
prospective trials have demonstrated that its clinical efficacy is
superior to that of conventional balloon angioplasty for primary
restenosis prevention in focal lesions of native coronary arteries.1,2 Some cardiologists consider stents as a
breakthrough technology in that they might not only reduce restenosis
rates but also improve most angiographic results achieved by
conventional balloon angioplasty. The policy to achieve
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Oscar Wilde