Abstract

To the Editor: Randomized controlled clinical trials of drug-eluting stents (DES) versus bare metal stents demonstrate no differences in the cumulative 4-year incidences of death or myocardial infarction using the Academic Research Consortium definitions.1 Nevertheless, a numeric increase in the incidence of late stent thrombosis (LST) after DES implantation has been observed.2 LST attributable to DES may be explained by (1) a relationship to the antirestenotic properties of DES (reduced late lumen loss), (2) the impact of drug and polymer components on thrombosis, (3) the propensity to treat patients previously …

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