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Stent pharmaco actif dans le resténose intra stent

Stent pharmaco actif dans le resténose intra stent. Symposium Biotronik High tech 2012 A. Tirouvanziam Nantes. Epidémiologie. Traitement RIS BMS. Traitement RIS BMS. Traitement RIS BMS. Traitement RIS BMS. Mécanismes RIS DES. Sous expansion. Type RIS % DES.

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Stent pharmaco actif dans le resténose intra stent

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  1. Stent pharmaco actif dans le resténose intra stent Symposium Biotronik High tech 2012 A. Tirouvanziam Nantes

  2. Epidémiologie

  3. Traitement RIS BMS

  4. Traitement RIS BMS

  5. Traitement RIS BMS

  6. Traitement RIS BMS

  7. Mécanismes RIS DES

  8. Sous expansion

  9. Type RIS % DES

  10. Traitement RIS DES :DES vs POBA / Cut / VBT

  11. RIS SES

  12. Études randomisées

  13. Interet switch DES ? Milan Experience • Does implanting a different type of DES have a benefit? • SES for PES ISR • PES for SES ISR Non-focal ISR Focal ISR

  14. DEB / RIS DES ?

  15. RIS BMS DES>POBA (VBT) SES>PES DEB>POBA DEB>DES? En pratique

  16. En pratique proposition • RIS DES (LIMUS) / analyse mecanisme (IVUS) : focale ++ • Type de resténosemeca potentiel traitement • Focale sous expansion POBA (NC) fracture DES, POBA allergie,HNI DES,DEB • Focale/ Edgegeo miss DES id (overlap) progressionplaque DES dissection DES (PES=SES ,pas interet switch) • Diffuse in stentres. drogue,allergie DES (+/-switch),DEB ( TLR ++> RIS BMS ) • Diffuse proliferativeres.drogue, allergie DES(+/- switch ),DEB,PAC • Etudes en attente (ISAR DESIRE 3),etudes DES G2/G3,evolution guidelines remboursement DEB

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