Titre : Resténose coronaire

Resténose coronaire : Questions médicales fréquentes

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selon les patients ?\nQuand consulter un médecin pour des symptômes ?", "url": "https://questionsmedicales.fr/mesh/D023903?page=3#section-symptômes" }, { "@type": "MedicalWebPage", "name": "Prévention", "headline": "Prévention sur Resténose coronaire", "description": "Comment prévenir la resténose coronaire ?\nLe contrôle du cholestérol aide-t-il à prévenir la resténose ?\nL'exercice régulier est-il bénéfique ?\nLes contrôles médicaux réguliers sont-ils importants ?\nLe stress peut-il influencer la resténose ?", "url": "https://questionsmedicales.fr/mesh/D023903?page=3#section-prévention" }, { "@type": "MedicalWebPage", "name": "Traitements", "headline": "Traitements sur Resténose coronaire", "description": "Quels traitements sont disponibles pour la resténose ?\nLes stents sont-ils efficaces contre la resténose ?\nQuel rôle jouent les médicaments antiagrégants ?\nLa chirurgie est-elle une option pour la resténose ?\nComment la surveillance post-interventionnelle est-elle effectuée ?", "url": "https://questionsmedicales.fr/mesh/D023903?page=3#section-traitements" }, { "@type": "MedicalWebPage", "name": "Complications", "headline": "Complications sur Resténose coronaire", "description": "Quelles complications peuvent survenir avec la resténose ?\nLa resténose augmente-t-elle le risque d'infarctus ?\nComment la resténose affecte-t-elle la qualité de vie ?\nLes complications sont-elles réversibles ?\nQuels signes indiquent une complication grave ?", "url": "https://questionsmedicales.fr/mesh/D023903?page=3#section-complications" }, { "@type": "MedicalWebPage", "name": "Facteurs de risque", "headline": "Facteurs de risque sur Resténose coronaire", "description": "Quels sont les principaux facteurs de risque de resténose ?\nL'âge influence-t-il le risque de resténose ?\nLe diabète est-il un facteur de risque ?\nLe mode de vie sédentaire est-il un facteur de risque ?\nLe stress peut-il aggraver les facteurs de risque ?", "url": "https://questionsmedicales.fr/mesh/D023903?page=3#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Comment diagnostique-t-on la resténose coronaire ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "Elle est diagnostiquée par angiographie coronarienne et tests d'effort." } }, { "@type": "Question", "name": "Quels examens sont utilisés pour évaluer la resténose ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "L'angiographie et l'échographie intravasculaire sont couramment utilisés." } }, { "@type": "Question", "name": "Quels symptômes peuvent indiquer une resténose ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Des douleurs thoraciques ou un essoufflement peuvent signaler une resténose." } }, { "@type": "Question", "name": "La scintigraphie cardiaque est-elle utile ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "Oui, elle peut aider à détecter des zones de mauvaise perfusion myocardique." } }, { "@type": "Question", "name": "Quand faut-il suspecter une resténose après une angioplastie ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Si le patient présente des symptômes d'ischémie dans les mois suivant l'intervention." } }, { "@type": "Question", "name": "Quels sont les symptômes courants de la resténose ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes incluent douleur thoracique, fatigue et essoufflement à l'effort." } }, { "@type": "Question", "name": "La resténose peut-elle être asymptomatique ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Oui, certains patients ne présentent aucun symptôme malgré la resténose." } }, { "@type": "Question", "name": "Comment la douleur thoracique se manifeste-t-elle ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Elle peut être ressentie comme une pression ou une sensation de serrement dans la poitrine." } }, { "@type": "Question", "name": "Les symptômes varient-ils selon les patients ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Oui, l'intensité et la nature des symptômes peuvent varier d'un patient à l'autre." } }, { "@type": "Question", "name": "Quand consulter un médecin pour des symptômes ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Il est conseillé de consulter immédiatement en cas de douleur thoracique persistante." } }, { "@type": "Question", "name": "Comment prévenir la resténose coronaire ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "Un mode de vie sain, l'arrêt du tabac et la gestion des facteurs de risque sont essentiels." } }, { "@type": "Question", "name": "Le contrôle du cholestérol aide-t-il à prévenir la resténose ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Oui, maintenir un taux de cholestérol sain réduit le risque de resténose." } }, { "@type": "Question", "name": "L'exercice régulier est-il bénéfique ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Oui, l'exercice régulier améliore la santé cardiaque et peut prévenir la resténose." } }, { "@type": "Question", "name": "Les contrôles médicaux réguliers sont-ils importants ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Oui, ils permettent de surveiller la santé cardiaque et d'ajuster les traitements." } }, { "@type": "Question", "name": "Le stress peut-il influencer la resténose ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le stress chronique peut aggraver les problèmes cardiaques et favoriser la resténose." } }, { "@type": "Question", "name": "Quels traitements sont disponibles pour la resténose ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Les traitements incluent la revascularisation, les médicaments et la surveillance." } }, { "@type": "Question", "name": "Les stents sont-ils efficaces contre la resténose ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les stents, surtout les stents médicamenteux, réduisent le risque de resténose." } }, { "@type": "Question", "name": "Quel rôle jouent les médicaments antiagrégants ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Ils aident à prévenir la formation de caillots et à réduire le risque de resténose." } }, { "@type": "Question", "name": "La chirurgie est-elle une option pour la resténose ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Oui, dans certains cas, une chirurgie de pontage peut être nécessaire." } }, { "@type": "Question", "name": "Comment la surveillance post-interventionnelle est-elle effectuée ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "Elle implique des contrôles réguliers et des tests d'effort pour évaluer la fonction cardiaque." } }, { "@type": "Question", "name": "Quelles complications peuvent survenir avec la resténose ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Les complications incluent l'angine de poitrine, l'infarctus du myocarde et l'insuffisance cardiaque." } }, { "@type": "Question", "name": "La resténose augmente-t-elle le risque d'infarctus ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Oui, la resténose peut augmenter le risque d'infarctus du myocarde." } }, { "@type": "Question", "name": "Comment la resténose affecte-t-elle la qualité de vie ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Elle peut limiter l'activité physique et entraîner des douleurs chroniques." } }, { "@type": "Question", "name": "Les complications sont-elles réversibles ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Certaines complications peuvent être gérées, mais d'autres peuvent être permanentes." } }, { "@type": "Question", "name": "Quels signes indiquent une complication grave ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Des douleurs thoraciques sévères, des sueurs ou des nausées doivent alerter immédiatement." } }, { "@type": "Question", "name": "Quels sont les principaux facteurs de risque de resténose ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "Les facteurs incluent le tabagisme, l'hypertension, le diabète et l'hyperlipidémie." } }, { "@type": "Question", "name": "L'âge influence-t-il le risque de resténose ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le risque de resténose augmente avec l'âge." } }, { "@type": "Question", "name": "Le diabète est-il un facteur de risque ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le diabète augmente significativement le risque de resténose." } }, { "@type": "Question", "name": "Le mode de vie sédentaire est-il un facteur de risque ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Oui, un mode de vie sédentaire contribue à l'augmentation du risque de resténose." } }, { "@type": "Question", "name": "Le stress peut-il aggraver les facteurs de risque ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le stress peut exacerber d'autres facteurs de risque comme l'hypertension." } } ] } ] }

Sources (10000 au total)

A systematic review and bioinformatic study on clinical, paraclinical, and genetic factors predisposing to stent restenosis following percutaneous coronary intervention.

Stent restenosis is a relatively common phenomenon among patients with coronary heart disease undergoing percutaneous coronary intervention (PCI). It seems that a set of clinical, laboratory, and even... In the first step, the manuscript databases including Medline, Web of Knowledge, Google Scholar, Scopus, and Cochrane were deeply searched by the two blinded investigators for all eligible studies bas... The incidence of stent re-stenosis will be the result of a complex interaction of clinical risk factors, laboratory factors mostly related to the activation of inflammatory processes, and a complex ne...

Combined Analysis of Two Parallel Randomized Trials of Sirolimus-Coated and Paclitaxel-Coated Balloons in Coronary In-Stent Restenosis Lesions.

Paclitaxel-coated balloons (PCBs) are a preferred treatment option for coronary in-stent restenosis. To date, data from randomized trials of alternative drug coatings are lacking. The aim of the rando... One hundred one patients with drug-eluting stent in-stent restenosis were enrolled in 2 identical randomized trials comparing the novel SCB (SeQuent SCB, 4 μg/mm²) with the clinically proven PCB (SeQu... Quantitative coronary angiography revealed no differences in baseline parameters. After 6 months, in-segment late lumen loss was 0.25±0.57 mm in the PCB group versus 0.26±0.60 mm in the SCB group. Mea... This first-in man comparison of a novel SCB with a crystalline coating showed similar angiographic and clinical outcomes in the treatment of coronary drug-eluting stent in-stent restenosis compared wi... URL: https://www.... gov; Unique identifier: NCT02996318, NCT03242096....

Derivation and validation of the ISAR score to predict the risk of repeat percutaneous coronary intervention for recurrent drug-eluting stent restenosis.

The treatment of drug-eluting stent (DES) in-stent restenosis (ISR) is challenging as it has a high risk of recurrence.... The aim of this analysis was to develop and validate a model to predict the risk of repeat percutaneous coronary intervention (PCI) for recurrent DES-ISR.... A retrospective, observational analysis was performed including consecutive patients treated with PCI for DES-ISR at two centres in Germany. Included patients were randomly divided into training and v... We included 1,986 patients in the current analysis, divided randomly into training (1,471 patients, 1,778 lesions) and validation (515 patients, 614 lesions) cohorts. Four factor variables (a non-foca... This study developed and validated a risk prediction model for repeat PCI for recurrent DES-ISR at 1-year follow-up. This model served to generate the ISAR score, a standardised tool that can be used ...

Restenosis after Coronary Stent Implantation: Cellular Mechanisms and Potential of Endothelial Progenitor Cells (A Short Guide for the Interventional Cardiologist).

Coronary stents are among the most common therapies worldwide. Despite significant improvements in the biocompatibility of these devices throughout the last decades, they are prone, in as many as 10-2...

Relationship between uric acid to albumin ratio and in-stent restenosis in patients with coronary artery disease undergoing drug-eluting stenting.

In-stent restenosis (ISR) in patients undergoing percutaneous coronary intervention (PCI) to treat coronary artery disease (CAD) is an urgent issue in clinical practice. Recent studies have highlighte... We included 503 patients with CAD who underwent initial DES implantation and angiography during the follow-up period. Based on coronary angiographic findings, the patients were categorized into ISR (n... Multivariate logistic regression analysis revealed that diabetes mellitus, stent length, UAR, albumin levels, and C-reactive protein levels independently predicted ISR. ROC curve analysis revealed tha... UAR was associated with ISR in patients with CAD undergoing PCI with DES implantation. Moreover, ROC curve analysis demonstrated that UAR exhibited superior predictive accuracy for ISR compared with e...

The association between the triglyceride-glucose index and in-stent restenosis in patients undergoing percutaneous coronary intervention: a systematic review and meta-analysis.

Insulin resistance (IR) can lead to cellular metabolic disorders, activation of oxidative stress, and endothelial dysfunction, contributing to in-stent restenosis (ISR). The triglyceride-glucose index... A thorough search was conducted in the PubMed, EMBASE, Web of Science, and Cochrane Library databases to find original papers and their references published between 1990 and January 2024. This search ... The five included articles comprised 3,912 participants, and the odds ratio (OR) extracted from each study was combined using the Inverse Variance method. Results showed that, in the context of CHD pa... The TyG index, an economical and precise surrogate for IR, is significantly linked with ISR. Furthermore, this correlation is unaffected by the type of coronary heart disease....

Analysis of the incidence and influencing factors associated with binary restenosis of target lesions after drug-coated balloon angioplasty for patients with in-stent restenosis.

Drug-coated balloon (DCB) is a novel and effective device for coronary artery disease patients with in-stent restenosis (ISR). However, the incidence and possible influencing factors associated with b... The data are extracted from a prospective, multicenter, randomized controlled trial. A total of 211 patients with ISR were enrolled at 13 centers from August 2017 to October 2018 and treated with DCB.... All patients successfully underwent treatment, and 166 patients with 190 lesions took part in angiography follow-ups at 9 months. Of these, 41 patients with 44 target lesions developed restenosis foll... The longer length of lesions, more target lesions and FBG > 6.1 mmol/L per individual may be characteristics of patients showing ISR following treatment. Studies with larger sample size, and more comp... No.: NCT04213378, first posted date (30/12/2019)....

High on-aspirin treatment platelet reactivity and restenosis after percutaneous coronary intervention: results of the Intracoronary Stenting and Antithrombotic Regimen-ASpirin and Platelet Inhibition (ISAR-ASPI) Registry.

The aim of this study was to assess the association between high on-aspirin treatment platelet reactivity (HAPR) and the subsequent risk of restenosis after percutaneous coronary intervention (PCI) wi... The association between HAPR and subsequent risk of restenosis after PCI is unclear.... This study included 4839 patients undergoing PCI (02/2007-12/2011) in the setting of the Intracoronary Stenting and Antithrombotic Regimen-ASpirin and Platelet Inhibition (ISAR-ASPI) registry. Platele... The upper quintile cut-off of platelet reactivity measurements (191 AU × min) was used to categorize patients into a group with HAPR (platelet reactivity > 191 AU × min; n = 952) and a group without H... This study did not find an association between HAPR, measured at the time of PCI, and clinical restenosis at 1 year after PCI....