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Correspondence
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Volume 354:2076-2078 May 11, 2006 Number 19
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Coronary-Artery Stents

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 by Serruys, P. W.
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To the Editor: I am troubled by the universal enthusiasm displayed by interventional cardiologists for coronary-artery stenting — stent mania. As mentioned by Serruys et al. in their excellent review (Feb. 2 issue),1 "stenting [with bare metal stents] reduces restenosis and repeated intervention, but does not reduce mortality or myocardial infarction," as compared with angioplasty alone. This failure to improve prognosis is also true for drug-eluting stents. However, life-threatening, in-stent thrombosis does present a serious early and late risk — and one that increases greatly if antiplatelet drugs are stopped. Antiplatelet regimens that are required in such cases not only . . . [Full Text of this Article]




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