The elusive prediction of stent thrombosis

Key Points

• Stent thrombosis is a rare PCI complication that occurs in approximately 1% of cases after successful PCI. In about 50% of cases ST occur after 30 days, and in 15% after 1 year.
• Lesion complexity and baseline presence of thrombus are angiographic predictors for ST and can potentially guide antithrombotic therapy.
• Further studies are needed to demonstrate whether these predictors can be used to individualize intensity and duration of DAPT.

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