Indications
• ACS, high-risk stress test result or indeterminate result & high-risk or high PreTP for CAD, s/p cardiac arrest (SCD, VT), suspected nonatherosclerotic cause of ischemia (ie, spasm), systolic dysfxn of unclear etiology, or persistent angina despite tx or w/ systolic dysfxn
Types
• Balloon angioplasty: Effective but has unique cx: Coronary artery dissection & restenosis from vessel remodeling
• BMS: ↓ restenosis & repeat revasc (to ∼10% @ 12 mo) c/w balloon angioplasty but requires lifelong ASA & clopidogrel for at least 4 wk
• DES (NEJM 2006;354:483): ↓ restenosis (by ∼75%) & repeat revasc (by ∼50%); to <5% (by 12 mo); no Δ D/MI over 1 yr c/w BMS; requires lifelong ASA & clopidogrel for at least 1 yr (Circulation2007;115:813)