FEATURED EDITORIAL
Late incomplete stent apposition after drug-eluting stent implantation: a true risk factor or "an innocent bystander"?
San Raffaele Scientific Institute and EMO Centro Cuore Columbus, Milan, Italy
Correspondence to:
Dr A Colombo, EMO Centro Cuore Columbus, Via Buonarroti 48, 20145 Milan, Italy; info@emocolumbus.it
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A Colombo
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A Latib
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Stent thrombosis (ST) is an event which may lead to myocardial infarction (MI) or death. The recognition of ST demands the demonstration of thrombus in the stented segment. When MI or death occurs in close temporal relationship with stenting, usually within 1 month, we accept any of these adverse events as indirect support for the occurrence of ST. During an extended follow-up interval, the relationship between ST and the occurrence of MI or death becomes less clear. It is obvious that multiple factors may lead to MI or death, besides ST, and the chances that any of these factors will come into play increase with the length of follow-up. The natural conclusion is that the possibility of making a firm identification of ST occurring months or years after stenting decreases if we only rely on the occurrence of MI or death. This foreword is important because
Relevant Article
- Impact of late incomplete stent apposition after sirolimus-eluting stent implantation on 4-year clinical events: intravascular ultrasound analysis from the multicentre, randomised, RAVEL, E-SIRIUS and SIRIUS trials
- R Hoffmann, M-C Morice, J W Moses, P J Fitzgerald, L Mauri, G Breithardt, J Schofer, P W Serruys, H-P Stoll, and M B Leon
Heart 2008 94: 322-328.[Abstract] [Full Text] [PDF]
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