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The Interventional Cardiology Training Manual pp 137–159Cite as

Stent Technology

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Abstract

The widespread acceptance of coronary artery stenting emerged after the results of the Belgian Netherlands STENT (BENESTENT) and the Stent Restenosis Study (STRESS) trials, which showed superiority of coronary stents compared with balloon angioplasty in reducing the risk of restenosis and the need for repeat revascularization. Since then, tremendous progress has been made in improving stent material, design, and processing, resulting in superior deliverability and procedural success. The improved results with coronary artery stenting over time were also related to expansion of the indications for stent implantation and insight that dual-antiplatelet therapy (instead of oral anticoagulation) lowered both the incidence of stent thrombosis and hemorrhagic complications. On the basis of their efficacy, coronary artery stents have emerged as the preferred tool for PCI and are currently deployed in more than 90% of procedures.

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Authors and Affiliations

  1. Department of Cardiology, Bern University Hospital, University of Bern, Bern, Switzerland

    Raffaele Piccolo & Stephan Windecker

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  1. Raffaele Piccolo
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  2. Stephan Windecker
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  1. Brighton and Sussex Medical School and the Sussex Cardiac Centre, Brighton and Sussex University Hospitals NHS Trust, Brighton, UK

    Aung Myat

  2. Royal Papworth Hospital NHS Foundation Trust, Papworth Everard, Cambridge, UK

    Sarah Clarke

  3. Wessex Cardiothoracic Centre, University Hospital Southampton NHS Foundation Trust, Southampton, UK

    Nick Curzen

  4. Department of Cardiology, Bern University Hospital, Bern, Switzerland

    Stephan Windecker

  5. Inova Center for Thrombosis Research and Drug Development, Inova Heart and Vascular Institute, Falls Church, VA, USA

    Paul A. Gurbel

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Piccolo, R., Windecker, S. (2018). Stent Technology. In: Myat, A., Clarke, S., Curzen, N., Windecker, S., Gurbel, P.A. (eds) The Interventional Cardiology Training Manual. Springer, Cham. https://doi.org/10.1007/978-3-319-71635-0_11

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