SCAI Expert Consensus Statement on Management of In-Stent Restenosis and Stent Thrombosis

Stent failure remains the major drawback to use of coronary stents as a revascularization strategy. Recent advances in imaging have substantially improved our understanding mechanisms underlying these occurrences, which common numerous clinical risk factors and mechanical elements at time stent implantation. In-stent restenosis problem despite improvements in-stent design polymer coatings over past 2 decades. It generates significant health care cost is associated with an increased death rehospitalization. thrombosis causes abrupt closure stented artery therefore carries high myocardial infarction death. This Society for Cardiovascular Angiography & Interventions (SCAI) Expert Consensus Statement suggests updated practical algorithmic approaches thrombosis. A pragmatic outline assessment management patients presenting presented. new SCAI classification that time-sensitive mechanistic implications proposed. Emphasis placed on frequent intracoronary timing determine precise etiology because information crucial guide selection best treatment option. recommends image-guided stenting initial implantation minimize occurrence failure. When are encountered, should be strongly considered optimize subsequent approach.