Evidence map›Paper›PMID 26417060›Full record

ReviewEuropean heart journal2015

Stent thrombosis and restenosis: what have we learned and where are we going? The Andreas Grüntzig Lecture ESC 2014.

Robert A Byrne, Michael Joner, Adnan Kastrati

3 registry-linked trialsOpen access · hybridAbstract readReview
In one paragraph

Review in European heart journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 241 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
241citing papers in PubMed, 8 pooled it
45.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04359446 nacompletednot on this mapstarted 2020, after this paper: background citation

Laser-excimer Versus High-pressure Dilation to Treat Under-expansion of the Stent (LASER EXPAND Study)

TypeinterventionalSponsorFundación EPICRan2020 to 2023Enrolled31ConditionsCardiovascular Diseases, Arterial DiseaseArmsNC ( Non- Compliant) Balloon dilatation, Laser Excimer + NC Balloon
NCT05562089 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Drug-Coated Balloon for the Treatment of De Novo and Restenotic Coronary Artery Lesion: a Prospective Observational Study

TypeinterventionalSponsorChinese University of Hong KongRan2022 to 2024Enrolled50ConditionsMyocardial Infarction, Drug-Coated BalloonArmsA Paclitaxel Drug-Coated Balloon
NCT06055673 unknown statusnot on this mapstarted 2023, after this paper: background citation

Angiotensin Converting Enzyme rs (1799752) Gene Polymorphism and Development of In-Stent Restenosis in Patients With Stable Coronary Artery Diseases in Sohag Hospital University.

TypeobservationalSponsorSohag UniversityRan2023 to 2023Enrolled182ConditionsAngiotensin Converting Enzyme rs (1799752) Gene Polymorphism and Development of In-Stent Restenosis in Patients With Stable Coronary Artery DiseasesArmsDNA extraction AND Real- time polymerase chain reaction analysis to POLYMORPHISM OF in in-stent restenosis (ISR) in CAD
3 · Its place in the literature

Who cites it

241 citing papers in PubMed, 8 syntheses or guidelines pooled it, 580 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  5. Pooled it
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  8. Pooled it
  9. Clinical outcomes of no stenting in patients with ST-segment elevation myocardial infarction undergoing deferred primary percutaneous coronary intervention.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2022
    Trial
  10. Trial
  11. Article
  12. Review
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  15. Article
  16. A Study of Coronary Stent Thrombosis Growth.Bioengineering (Basel, Switzerland) · 2026
    Article
  17. Review
  18. Article
  19. Article
  20. Article

181 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Robert A ByrneDeutsches Herzzentrum München, Technische Universität München, Lazarettstr. 36, Munich, Germany.
Michael JonerDeutsches Herzzentrum München, Technische Universität München, Lazarettstr. 36, Munich, Germany.
Adnan KastratiDeutsches Herzzentrum München, Technische Universität München, Lazarettstr. 36, Munich, Germany DZHK (German Centre for Cardiovascular Research), Partner Site Munich Heart Alliance, Munich, Germany kastrati@dhm.mhn.de.
Deutsches Herzzentrum München · DETechnical University of Munich · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Modern-day stenting procedures leverage advances in pharmacotherapy and device innovation. Patients treated with contemporary antiplatelet agents, peri-procedural antithrombin therapy and new-generation drug-eluting stents (DES) have excellent outcomes over the short to medium term. Indeed, coupled with the reducing costs of these devices in most countries there remain very few indications where patients should be denied treatment with standard-of-care DES therapy. The two major causes of stent failure are stent thrombosis (ST) and in-stent restenosis (ISR). The incidence of both has reduced considerably in recent years. Current clinical registries and randomized trials with broad inclusion criteria show rates of ST at or <1% after 1 year and ∼0.2-0.4% per year thereafter; rates of clinical ISR are 5% respectively. Angiographic surveillance studies in large cohorts show rates of angiographic ISR of ∼10% with new-generation DES. The advent of high-resolution intracoronary imaging has shown that in many cases of late stent failure neoatherosclerotic change within the stented segment represents a final common pathway for both thrombotic and restenotic events. In future, a better understanding of the pathogenesis of this process may translate into improved late outcomes. Moreover, the predominance of non-stent-related disease as a cause of subsequent myocardial infarction during follow-up highlights the importance of lifestyle and pharmacological interventions targeted at modification of the underlying disease process. Finally, although recent developments focus on strategies which circumvent the need for chronically indwelling stents--such as drug-coated balloons or fully bioresorbable stents-more data are needed before the wider use of these therapies can be advocated.

Indexed as

Absorbable ImplantsCoronary RestenosisCoronary ThrombosisDrug-Eluting StentsDrug Therapy, CombinationFemaleGraft Occlusion, VascularHumansMaleMiddle AgedPercutaneous Coronary InterventionPlatelet Aggregation InhibitorsProsthesis FailureRisk FactorsTreatment OutcomePlatelet Aggregation InhibitorsBioresorbable stentsCoronary artery diseaseDrug-eluting stentsIn-stent restenosisNeoatherosclerosisStent thrombosis

Identifiers

PMID26417060
PMCPMC4677274
OpenAlexW2184506935

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.