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Percutaneous revascularization strategies in small-vessel disease
Authors:E. Puymirat  E. Barbato
Affiliation:1. Cardiovascular center Aalst, OLV hospital, Aalst, Belgium;2. Department of cardiology, hôpital européen Georges-Pompidou, Assistance publique–Hôpitaux de Paris, 20, rue Leblanc, 75015 Paris, France;3. Université Paris Descartes, 75005 Paris, France;4. Inserm U970, Paris Cardiovascular Research Center PARCC, 75015 Paris, France
Abstract:Percutaneous coronary intervention (PCI) of small coronary vessels represents a real challenge for myocardial revascularization because of the high risk of stent-restenosis and increased risk of adverse clinical events. Moreover, small coronary arteries supply small myocardial territories therefore questioning the clinical significance of small-vessel stenoses. The definition of small-vessel disease and PCI-strategies used are very heterogeneous across studies. The present review will focus on percutaneous coronary revascularization in patients with small vessel coronary artery disease.
Keywords:Bare-metal stents   Drug-eluting stents   Fractional flow reserve   Percutaneous coronary intervention   Small coronary arteries
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