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European Heart Journal Advance Access originally published online on December 16, 2005
European Heart Journal 2006 27(5):503-505; doi:10.1093/eurheartj/ehi681
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© The European Society of Cardiology 2005. All rights reserved. For Permissions, please e-mail: journals.permissions@oupjournals.org

Residual coronary dissections after drug-eluting stenting: the good, the bad, and the ugly

Fernando Alfonso*

Cardiología Intervencionista, Instituto Cardiovascular, Hospital Universitario Clínico ‘San Carlos’, Plaza de Cristo Rey, Madrid 28040, Spain

* Corresponding author. Tel: +34 91 3303289; fax: +34 91 3303289. E-mail address: falf@hotmail.com

This editorial refers to ‘Incidence, predictors, and outcomes of coronary dissections left untreated after drug-eluting stent implantation’{dagger} by G.G.L. Biondi-Zoccai et al., on page 540

The first 150 words of the full text of this article appear below.

The article of Biondi-Zoccai et al.1 provides a unique opportunity to review the management of coronary dissections induced during percutaneous coronary interventions. For more than 25 years, interventional cardiologists have been facing this challenging situation using different approaches.2–5 Initially, prolonged balloon inflation was the only available therapy. If unsuccessful, patients with acute or threatened vessel closure had only urgent coronary artery bypass surgery as a therapeutic alternative to prevent or limit myocardial damage. The introduction of coronary stents, with their inherent scaffolding properties, dramatically changed this scenario and allowed the dissection flap to be readily tackled. However, whether or not routine stenting is systematically required to seal even minor residual coronary dissections has been a matter of continuous debate for the last decade.2–5 Currently, the soliloquy ‘To stent or not to stent: that is the question’4 is being revisited in the new era of drug-eluting stents. Only inquiring . . . [Full Text of this Article]

The good

The bad

The ugly

The facts


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Related articles in EHJ:

Incidence, predictors, and outcomes of coronary dissections left untreated after drug-eluting stent implantation
Giuseppe G.L. Biondi-Zoccai, Pierfrancesco Agostoni, Giuseppe M. Sangiorgi, Flavio Airoldi, John Cosgrave, Alaide Chieffo, Rossella Barbagallo, Corrado Tamburino, Guido Vittori, Elena Falchetti, Massimo Margheri, Carlo Briguori, Enrico Remigi, Ioannis Iakovou, Antonio Colombo, and on behalf of the RECIPE (Real-world Eluting-stent Comparative Italian retrosPective Evaluation) Study Investigators
EHJ 2006 27: 540-546. [Abstract] [FREE Full Text]  



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