Stent thrombosis: Prevention and management

Rajendra Kumar Jain P, Nishad Chitnis

Pdf Page Numbers :- 5-12

Rajendra Kumar Jain P^1,* and Nishad Chitnis¹ 

¹Department of Cardiology, Krishna Institute of Medical sciences, Minister Road, Secunderabad - 500003, AP, India

*Corresponding author: Dr. P. Rajendra Kumar Jain, MD, DM, DIU (Paris), FACC (USA), Consultant & Interventional Cardiologist, Department of Cardiology, Krishna Institute of Medical sciences, Minister Road, Secunderabad - 500003, AP, India. Email: drpkjain82@gmail.com

Received 8 October 2013; Revised 15 December 2013; Accepted 22 December 2013

Citation: Rajendra Kumar Jain P, Nishad Chitnis. Sphincter exercises for people with incontinence. J Med Sci Res 2014; 2(1):5-12. DOI: http://dx.doi.org/10.17727/JMSR.2014/2-001

Copyright: © 2014 Rajendra Kumar Jain P et al. Published by KIMS Foundation and Research Center. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 

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Abstract

 Stent thrombosis (ST) is a persistent and important clinical problem. Stent thrombosis has been defined and classified by the Academic Research Consortium (ARC). We have reviewed the data available on the incidence of ST in various registries and trials. The incidence of ST is higher with DES compared to BMS. ST incidence is highest with first generation DES but reduces significantly with second and third generation DES. We have reviewed the factors which predict a higher incidence of ST. These can be divided into patient, lesion and procedure characteristics. The upcoming new technologies and their potential impact on ST have been discussed. Finally, the methods of minimising the incidence of ST in practice have been discussed.

Keywords: Stent thrombosis; Coronary stent; Drug eluting stents