The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

EDITORIAL

Stent overlap in acute myocardial infarction

EuroIntervention 2017;13:e505-e507 published online e-edition August 2017. DOI: 10.4244/EIJV13I5A79

Department of Interventional Cardiology, Thoraxcenter, Erasmus MC, Rotterdam, the Netherlands


The implantation of overlapping stents is a common technique in clinical practice for the treatment of long lesions or as a bail-out strategy in case of stent edge dissection or incomplete plaque coverage. The use of overlap is supported by evidence showing unacceptably high neointimal proliferation and restenosis rates when a gap is left between adjacent stents1.

However, during the bare metal stent (BMS) and the first drug-eluting stent (DES) era, overlap was reported to be a site of increased late lumen loss and was associated with a higher rate of target lesion revascularisation (TLR) and thrombosis compared ...

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