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Editorial
. 2020 Jun 1;95(7):1257-1258.
doi: 10.1002/ccd.29055. Epub 2020 May 30.

Post-dilatation trepidation: Post-dil is "no big dil"

Stacey Clegg  1 , James C Blankenship  2
Affiliations
Editorial

Post-dilatation trepidation: Post-dil is "no big dil"

Stacey Clegg et al. Catheter Cardiovasc Interv. .

Abstract

Selective stent post-dilatation (PD) in a cohort of STEMI patients did not affect major adverse cardiac events but it did decrease device-oriented composite events, a secondary composite end point of less clear significance. This study suggests that selective stent PD in STEMI does not increase the incidence of acute no-reflow or long-term adverse clinical events. In primary PCI for STEMI, if the stent appears under-expanded, then PD, perhaps guided by intravascular imaging (which was not reported in this study), is reasonable.

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References

REFERENCES

    1. Saadat N, Saadatagah S, Nargesi AA, et al. Short-term safety and long-term benefits of stent post-dilatation after primary percutaneous coronary intervention: results of a cohort study. Catheter Cardiovasc Interv. 2020;95:1249-1256.
    1. Malik AH, Yandrapalli S, Aronow WS, Panza JA, Cooper HA. Intravascular ultrasound-guided stent implantation reduces cardiovascular mortality: updated meta-analysis of randomized controlled trials. Int J Cardiol. 2020;299:100-105.
    1. Cutlip DE, Windecker S, Mehran R, et al. Clinical end points in coronary stent trials: a case for standardized definitions. Circulation. 2007;115:2344-2351.
    1. Watanabe Y, Sakakura K, Taniguchi Y, et al. Determinants of slow flow in percutaneous coronary intervention to the culprit lesion of non-ST elevation myocardial infarction. Int Heart J. 2018;59:1237-1245.
    1. Witzenbichler B, Maehara A, Weisz G, et al. Relationship between intravascular ultrasound guidance and clinical outcomes after drug-eluting stents: the assessment of dual antiplatelet therapy with drug-eluting stents (ADAPT-DES) study. Circulation. 2014;129:463-470.

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