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Doctor insights on: Binary Restenosis Definition

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What is restenosis and how is it treated?

What is restenosis and how is it treated?

Narrowing again: Usually an artery that has been dilated or stented, or operated, redevelops plaque or scar and is narrowed= stenosed again . Repeat dilation or surgery has a reasonable chance of correcting the issue. ...Read more

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If you have a failed plain stents( restenosis) what is the next course of action?

If you have a failed plain stents( restenosis) what is the next course of action?

Drug Eluting: Nowadays, we utilize drug eluting stents and perform stent in stent angioplasty (stent sandwich); if the lesion is not amenable to that, one can use other means such as rotational atherectomy or cutting balloon angioplasty, or a combination of those with stenting with a drug eluting stent. At times, plain old balloon angioplasty will work as well. ...Read more

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What is the rate of restenosis of coronaries comparing drug eluted & plain stents.?

What is the rate of restenosis of coronaries comparing drug eluted & plain stents.?

See below: The highest risk of restenosis is during the first month after stent placement. The risk of restenosis of drug eluting stents is about 10% vs bare metal stents of about 30%. After one year restenosis is much less common. Risk factors for restenosis include diabetes, small vessels stented, long lesions stented and multiple stents placed. ...Read more

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Please help! what is the rate of restenosis of coronaries comparing the use of drug eluded & plain stents?

Not simple: Kind of a complex question. Basically most of the studies were done with the 1st generation stents. There was a significant reduction in the need to retreat with drug eluting stents (DES) compared compared to bare metal stents (BMS) (an absolute difference of approximately 12% at four years). There was no significant difference in overall mortality between DES and BMS. ...Read more

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What can cause restenosis after angioplasty?

What can cause restenosis after angioplasty?

Many: There are techinical causes. If the stent is too small or the lesion wasnt completely covered. Complex bifurcation lesions and long lesions are more likely to restenose. Using multiple stents and working on stents that have already stenosed before. There are patient related causes .Pts that smoke or have diabetes (especially if its poorly controlled) have higher rates of restenoses. High cholest. ...Read more

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What is the time of restenosis after angioplasty if drug eluting stents?

What is the time of restenosis after angioplasty if drug eluting stents?

See below: The highest risk of restenosis is during the first month after stent placement. The risk of restenosis of drug eluting stents is about 10% vs bare metal stents of about 30%. After one year restenosis is much less common. Risk factors for restenosis include diabetes, small vessels stented, long lesions stented and multiple stents placed. ...Read more

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What is the time of restenosis after angioplasty (with drug eluting stents)?

What is the time of restenosis after angioplasty (with drug eluting stents)?

Can : Form restenosis at about 9 months so need to be checked. After that they can last several years. Need follow up. Make sure to take your blood thinner. ...Read more

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Would an echocardiogram show restenosis, DES rejection or inflammation of arterie?

No: Only if restenosis caused enough blood flow restriction to cause a wall motion abnormality on echo. An artery inflammation would be better screened by lab testing. Stents would not typicaly be considered 'rejected'. There would be a certain inflammatory reaction as the stent heals in place and the body covers it with skin. If the stent is not expanded properly, there could be a problem with des. ...Read more

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How is a renal artery stent restenosis done?

How is a renal artery stent restenosis done?

Place new stent: In old stent. Sometimes need a covered stent. Others just balloon again. ...Read more

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Can you tell me about restenosis after balloon angioplasty?

Restenosis: The disease process that led to your blockage does not shut off or stop just because a successful angioplasty was completed. The ongoing disease may lead to restenosis and there are any number of things that can speed up the process of restenosis; most notably continued cigarette smoking. ...Read more

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I has rheumatic heart disease and undergone valvuloplasty in 2009.but now(in 2014) restenosis is taking place?why is it happening?what should we do?

I has rheumatic heart disease and undergone valvuloplasty in 2009.but now(in 2014) restenosis is taking place?why is it happening?what should we do?

Not uncommon: Although you are fairly young to have developed rheumatic mitral valve (MV) disease. Restonosis is not uncommon with rheumatic MV after valvuloplasty. If the valve still appears amenable to valvuloplasty by echocardiogram it can be re-attempted. However, if that's not an option your only other choice is a valve replacement. Best of luck. ...Read more

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How does the rate of restenosis of coronary arteries compare with medical therapy over stents?

How does the  rate of restenosis of coronary arteries compare with medical therapy over stents?

Not sure: I am not sure what is meant here. If there was no stent or balloon angioplasty to begin with, the term "restenosis" is sort of irrelevant here. On the other hand, if one is talking about treating in-instent restenosis with medical therapy; if the patient is asymptomatic, there is no reason to not try medical therapy for a while at least. ...Read more

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I am a diabetic. I had a carotid endarterectomy on both left and right side 15 months ago. The doctor heard a bruit on the left side. Is it likely to have restenosis?

I am a diabetic. I had a carotid endarterectomy on both left and right side 15 months ago. The doctor heard a bruit on the left side. Is it likely to have restenosis?

Post op restenosis: While restenosis is possible, statistically, it is pretty unusual. Some folks get a condition called myointimal hyperplasia which is like an over aggressive healing process that looks for the first few follow up ultrasounds like restenosis but it usually burns itself out and regresses back towards normal in time. It is pretty easy to look for restenosis with a repeat duplex scan (ultrasound). ...Read more

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Had DES in mid LAD february 2013. Is there a test like ultra sound to see if there is restenoses? Or something were the arteries can be seen?

Had DES in mid LAD february 2013. Is there a test like ultra sound to see if there is restenoses?  Or something were the arteries can be seen?

Depends: I assume you are asking is there a non-invasive test to check for restenosis. The non-invasive test to check for restenosis would be either an exercixe or nuclear stress test. An invasive test requiring a cardiac catheterization can use an ivus (intravascular ultrasound) to examine the stent by ultrasound. Paying attention to symptoms that occur can also give indication of restenosis. ...Read more

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What is the medical definition of ADD?

What is the medical definition of ADD?

ADD: Attention deficit disorder (ADD) = a developmental disorder with chronic difficulty sustaining attention with or without impulsivity or hyperactivity. ...Read more

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What is the medical definition of health?

Health: health = " A state of complete physical, social and mental well-being, and not merely the absence of disease or infirmity." as defined by the World Health Organization. ...Read more

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What is the medical definition of coping?

What is the medical definition of coping?

Coping: Coping = efforts made to minimize negative impact of stress, consciously engaging in solving problems & to make situation tolerable. ...Read more

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What is the medical definition of gender?

What is the medical definition of gender?

Gender: Gender = The sex with which one identifies (masculine /male or feminine/ female) ...Read more

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What is the definition of an indigo child?

What is the definition of an indigo child?

Child is sensitive: likes nature, is mature, people tend to trust person/child, child is has seen ghosts/angels, is interested in spiritual matters, God, praying,meditation, other cultures, sees things differently, think outside the box, can be anxious, headstrong, and is impatient. Once given discipline and encouragement can go very far. I have treated these Indigos and am one myself. ...Read more

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