PCI:适应症和未来发展方向PPT课件.pptVIP

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PCI:适应症和未来发展方向PPT课件.ppt

PCI: Indications Future Directions PCI: Indications Future Directions Summary History and Current Status of PCI Indications of Percutaneous Coronary Intervention Future Development Novel Drug Eluting Stents Expanding Beyond Coronary Vasculature Newer Imaging Technologies Cellular Approach: Angiogenesis and Myogenesis PCI: Indications Future Directions History and Current Status of PCI Indications of Percutaneous Coronary Intervention Future Development Novel Drug Eluting Stents Expanding Beyond Coronary Vasculature Newer Imaging Technologies Cellular Approach: Angiogenesis and Myogenesis PCI: Indications Future Directions Milestones of PTCA Balloon Angioplasty NHLBI Registry 1977-81 PTCA Results Angiographic Success –88% Procedural Mortality – 1% Non-fatal MI – 4.3% Emergency CABG – 3.4% New Device Angioplasty How Good is Balloon PTCA? PCI: Indications Future Directions Restenosis Following PTCA PCI: Indications Future Directions How Good is Balloon PTCA? New Device Angioplasty Two Major Goals 1. Increase Procedure Success 2. Reduce Restenosis New Device Angioplasty How Good is New Device Angioplasty? PCI: Indications Future Directions Restenosis Post Stent Vs. Balloon U.S. Percutaneous Intervention Volume Total PTCA and Stents Cases Impact of New Device Interventions NHLBI 1985-1986 Vs. Dynamic Registry 1997-1998 Impact of New Device Interventions NHLBI 1985-1986 Vs. Dynamic Registry 1997-1998 Landmark in Interventional Cardiology PCI: Indications Future Directions SIRIUS: Key Clinical Findings PCI: Indications Future Directions History of Percutaneous Coronary Intervention Indications of Percutaneous Coronary Intervention Current Status of Percutaneous Coronary Intervention Future Development Novel Drug Eluting Stents Expanding Beyond Coronary Vasculature Newer Imaging Technologies Cellular Approach: Angiogenesis and Myogenesis Patients who do not have treated diabetes

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