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Why a so high restenosis rate even with DES ? Hemodynamics perturbations insights

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European Bifurcation Club 2006 – EBC 2006 – Rome, Italy

Why a so high restenosis rate even with DES ?

Why a so high restenosis rate even with DES ? Hemodynamics perturbations insights

Author: Nicolas Benard, PhD, Université de Poitiers, France

 

CONCLUSION

  • Flow disturbances induced by a stent could be microscopic (between the strut pattern) or macroscopic.
  • The flow disturbances are significant and participate to the restenosis process in the acute stage of the stent implantation.
  • The enhancement of blood flow dynamics can decrease the restenosis rate (Pache, 2003, J. Am. Coll. of Cardiol. 41 and Kastrati, 2003, Circulation 103).
  • Stenting of bifurcation site requires blood flow analysis to fully understand the in vivo investigations and to provide accurate recommendations for future developments.

 

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