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Instent Restenosis and Late Stent Thrombosis - page 20 / 35

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Management Strategies for Restenosis

Class IIA

o

It is reasonable to consider that patients who develop restenosis after PTCA or PTCA with atheroablative devices are candidates for repeat coronary intervention with intracoronary stents if anatomic factors are appropriate. (Level of Evidence: B)

o

It is reasonable to perform repeat PCI for ISR with a DES or a new DES for patients who develop ISR if anatomic factors are appropriate. (Level of Evidence: B)

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Brachytherapy can be useful as a safe and effective treatment for ISR. (Level of Evidence: A)

Smith SC, et al.  ACC/AHA/SCAI 2005 guideline

update for percutaneous coronary intervention

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