[Percutaneus coronary interventions for ostial lesions].

An ostial lesion is defined as a lesion near to the ostium (≤3 mm) and is characterized by a rigid fibrotic texture with pronounced sclerosis associated with a very high tendency to recoil. Under certain circumstances this may lead to a modest primary interventional result accompanied by a higher complication rate and in particular a higher rate of restenosis. Ostial lesions of the right coronary artery in particular represent a greater challenge for percutaneous interventions with a higher rate of restenosis despite the introduction of various new techniques. In contrast ostial stenosis of the left main trunk shows very good results after percutaneous interventions and implantation of drug-eluting stents. The indications for percutaneous transluminal coronary angioplasty (PTCA) of an ostial lesion correspond to the indications for treatment of all other lesions. The article gives an overview of the experiences and recommendations with respect to the diagnostics and interventional therapy of ostial lesions.
AuthorsJ Wöhrle, S Markovic
JournalHerz (Herz) Vol. 41 Issue 7 Pg. 579-584 (Nov 2016) ISSN: 1615-6692 [Electronic] Germany
Vernacular TitlePerkutane koronare Intervention ostialer Läsionen.
PMID27480783 (Publication Type: Journal Article, Review)
  • Coronary Stenosis (diagnosis, surgery)
  • Coronary Vessels (diagnostic imaging, surgery)
  • Drug-Eluting Stents (standards)
  • Evidence-Based Medicine
  • Germany
  • Humans
  • Percutaneous Coronary Intervention (instrumentation, methods, standards)
  • Practice Guidelines as Topic
  • Preoperative Care (standards)
  • Treatment Outcome

Join CureHunter, for free Research Interface BASIC access!

Take advantage of free CureHunter research engine access to explore the best drug and treatment options for any disease. Find out why thousands of doctors, pharma researchers and patient activists around the world use CureHunter every day.
Realize the full power of the drug-disease research graph!

Choose Username:
Verify Password:
Enter Code Shown: