Overcoming challenges in refining the current generation of coronary stents.
Masayuki MoriAtsushi SakamotoYu SatoRika KawakamiKenji KawaiAnne CornelissenBiniyam AbebeSaikat GhoshMaria E RomeroFrank D KolodgieRenu VirmaniAloke V FinnPublished in: Expert review of cardiovascular therapy (2021)
Optimizing DAPT duration after stent implantation and prevention of in-stent neoatherosclerosis are two major issues in current DES. Overcoming these drawbacks is a prerequisite towards achieving better short- and long-term clinical outcomes. New technologies including platform design, polymer types, and anti-proliferative agent itself might lead to further improvements. Although the initial experience with bioresorbable scaffold/stents (BRS) was disappointing, positive results of clinical studies regarding novel BRS are raising expectations. Overall, further device innovation is desired for overcoming the limitations of current DES.