Abstract

We read with great interest the article by Wakabayashi et al1 recently published in Circulation: Cardiovascular Interventions . Wakabayashi et al reviewed the mechanisms of edge restenosis, bringing insights into the possible underlying causes of this phenomenon analyzing results from several drug-eluting stent (DES) trials. They suggest that the principal mechanism of edge restenosis in bare metal stent as in DES is through plaque shift and intimal hyperplasia proliferation beyond the stent edges, within the first millimeter from the stent. Interestingly, the authors noted from several trials, including paclitaxel-, sirolimus-, zotarolimus-, and everolimus-eluting stents that despite significant reduction in restenosis with DES compared with bare metal stent control, …

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