| Table 1. High-risk clinical and angiographic features for thrombotic events |
| Feature: Clinical |
- Before myocardial infarction or troponin-positive acute coronary syndrome
- Diabetes mellitus treated with oral hypoglycemics or insulin*
- Chronic kidney disease (creatinine clearance ≤ 60 mL/min)
- Previous stent thrombosis
- Current smoker
|
| Feature: Angiographic |
- Multiple stents (≥3 stents implanted, ≥ 3 lesions stented)15 or use of a biodegradable vascular scaffold
- Long lesion length (>60 mm total stent length)
- Complex lesions (bifurcation treated with 2 stents, stenting of chronic occlusion)
- Left main or proximal LAD stenting
- Multivessel PCI
|
LAD, left anterior descending artery;
PCI, percutaneous coronary intervention.
* Net benefit to diabetic patients in the absence of any of other high risk
features is unclear.