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Stent Thrombosis in Coronary Bifurcation After DES Implantation

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European Bifurcation Club 2009 – EBC 2009 – Berlin, Germany

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Stent Thrombosis in Coronary Bifurcation After DES Implantation

Author: Sunao Nakamura, New Tokyo Hospital, Japan

 

SUMMARY

  1. The incidence of stent thrombosis in Asian races is relatively low.
  2. Emergent procedure for AMI was an only predictor of ST in early ST and Hemodialysis, chronic renal failure(e-GFR < 30/Non-HD) and usage of two stent in bifurcation were predictor of late and very late ST.
  3. Discontinuation of both thienopyridine and aspirin, but not discontinuation of thienopyridine therapy alone, was associated with an increased risk of Stent Thrombosis.
  4. Landmark analysis did not suggest an  apparent clinical benefit of thienopyridine use beyond 6 months after SES implantation

 

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