In-Stent Restenosis: Incidence, Mechanisms, and Treatment Options
- 01-12-2025
- Intravascular Ultrasound
- Interventional Cardiology (SR Bailey and T Helmy, Section Editors)
- Authors
- Michael Sola
- Zachary Tugaoen
- Jessica Willis
- George A. Stouffer
- Published in
- Current Cardiology Reports | Issue 1/2025
Abstract
Purpose of Review
To provide an overview of up-to-date treatment practices for in-stent restenosis (ISR).
Recent Findings
ISR is treated with similar effectiveness by paclitaxel drug coated balloons and second-generation drug eluting stents. Sirolimus coated balloons are an emerging technology that requires further investigation.
Summary
The management of ISR remains challenging even with the newest generation of drug-eluting stents. The use of intravascular imaging is highly recommended to identify the mechanisms of stent failure and to tailor the method of treatment, whether it is plain old balloon angioplasty, plaque/calcium modifying tools such as intravascular lithotripsy or rotational atherectomy, additional drug eluting stents, or drug coated balloons. Paclitaxel drug coated balloons are the most recent technological advancement which has provided an option to treat ISR that doesn’t require further layers of metal. Currently, other drug coatings are being studied but it is unclear whether these balloons are as effective as paclitaxel coated balloons, with ongoing trials designed to answer this question.
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- Title
- In-Stent Restenosis: Incidence, Mechanisms, and Treatment Options
- Authors
-
Michael Sola
Zachary Tugaoen
Jessica Willis
George A. Stouffer
- Publication date
- 01-12-2025
- Publisher
- Springer US
- Published in
-
Current Cardiology Reports / Issue 1/2025
Print ISSN: 1523-3782
Electronic ISSN: 1534-3170 - DOI
- https://doi.org/10.1007/s11886-025-02249-0
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