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Heart 2008;94:253-254; doi:10.1136/hrt.2007.126375
Copyright © 2008 BMJ Publishing Group Ltd & British Cardiovascular Society

FEATURED EDITORIAL

Late incomplete stent apposition after drug-eluting stent implantation: a true risk factor or "an innocent bystander"?

Antonio Colombo, Azeem Latib

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

The first 150 words of the full text of this article appear below.


 


 

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 . . . [Full text of this article]


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