Coronary Stents

Over the past 15 years, a multitude of new transluminal techniques have been developed, all designed to broaden the range of indications and improve the results of angioplasty. Among these, the implantation of intravascular stents has emerged as the techn

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G. I. Frank (Eds.)

Coronary Stents With Contributions by R.P. Bauman, M. Buchbinder, H. Cabin, B. Cassagneau, G.D. Chapman, W.D. Edwards, J. Fajadet, D.P. Foley, G.!. Frank, G.S. Gammon, J. Hirshfeld, D.R. Holmes, J. Marco, J.G. Murphy, C.A. Pinkerton, G. Robert, G.S. Roubin, M. Savage, R.A. Schatz, R.S. Schwartz, P.W. Serruys, U. Sigwart, R.S. Stack, B.H. Strauss, H.J.C. Swan, P.S. Teirstein, P. Urban, H.M. van Beusekom, W.J. van der Giessen, M. Vandormael

With 119 Figures and 19 Tables

Springer-Verlag Berlin Heidelberg New York London Paris Tokyo Hong Kong Barcelona Budapest

ULRICH SIGWART, M.D., FACC, FESC Royal Brompton National Heart & Lung Hospitals Sydney Street London SW3 6NP, UK GEORGE I. FRANK, M.D. Cardiovascular Program, Northwest Hospital 1560 North 115th, Suite 206 Seattle, WA 98133, USA

ISBN-13: 978-3-642-76926-9 DOl: 10.1007/978-3-642-76924-5

e-ISBN-13: 978-3-642-76924-5

This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitating, broadcasting, reproduction on microfilms or in other ways, and storage in data banks. Duplication of this publication or parts thereof is only permitted under the provisions of the German Copyright Law of September 9, 1965, in its current version, and a copyright fee must always be paid. Violations fall under the prosecution act of the German Copyright Law.

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Springer-Verlag Berlin Heidelberg 1992 Softcover reprint of the hardcover 1st edition 1992

The use of registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names arc exempt from the relevant protective laws and regulations and therefore free for general use. Product Liability: The publishers can give no guarantee for information about drug dosage and applications thereof contained in this book. In every individual case the respective user must check its accuracy by consulting other pharmaceutical literature. 19/3130 - 5 4 3 2 I 0 - Printed on acid-free paper

Preface

Over the past 15 years, a multitude of new transluminal techniques have been developed, all designed to broaden the range of indications and improve the results of angioplasty. Among these, the implantation of intravascular stents has emerged as the technique with the greatest promise. It has become clear that stenting not only successfully deals with the problem of abrupt closure after angioplasty, but also reduces the incidence of restenosis, the Achilles heel of angioplasty. The reason why restenosis is reduced may be because the immediate gain of luminal diameter is greater with stenting than with any other technique. Even if the late loss of diameter is similar among most currently used transluminal techniques, the end result will stilI be better after stenting because of the nearly ideal primary effect. The aims of this book are twofold: first it presents a state-of-the-art summary of the progress made in stenting so far, and