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Are there specific types/brands of drug-eluting stent you prefer that perform well in terms of lower ISR rates or ones that are better for patients with high bleeding risk?

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Are there specific types/brands of drug-eluting stent you prefer that perform well in terms of lower ISR rates or ones that are better for patients with high bleeding risk?

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2 Answers
Mednet Member
Mednet MemberInvited Expert
Cardiology · ETSU Health Care
Answered on

That is a great question.

All of the currently available drug-eluting stents are very safe, and you can now get away with just one month of dual antiplatelet therapy (DAPT) in a patient with high bleeding risk. There is more and more evidence of using clopidogrel only monotherapy instead of using DA...

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Mednet Member
Mednet MemberInvited Expert
Cardiology · Interventional cardiologist
Answered on

ISR, often identified as TLR in studies, has a low single-digit incidence (1-2% per year) with newer generation DES. Ultrathin strut (60-70 um) and durable polymer DES seem intuitively the best options to minimize ISR/TLR, but a network meta-analysis of almost 50k patients in RCTs suggested that all...

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