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Does Clopidogrel Each Day Keep Stent Thrombosis Away?
Dean J. Kereiakes, MD
JAMA. 2007;297:209-211.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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New medicines and new methods of cure always work miracles . . . for a while. William Heberden, MD
The polymer-based elution of antiproliferative medications from a metal stent prosthesis has been demonstrated to suppress neointimal proliferative response to stent-vessel injury and to reduce consequent late arterial lumen loss and restenosis. In randomized controlled trials, drug-eluting stents compared with bare-metal stents caused a 70% to 80% reduction in binary (>50%) angiographic restenosis and a 50% to 70% reduction in repeat target lesion or vessel revascularization.1-2 Furthermore, comprehensive follow-up to 1 year demonstrated no evidence for any excess in the incidence of death, myocardial infarction (MI), or stent thrombosis for either treatment strategy.3-4 Thus, based on pivotal clinical trial evidence for both the relative safety and efficacy of drug-eluting stents, the US Food and Drug Administration approved both Cypher, the sirolimus-eluting stent, in 2002, as well as TAXUS, the paclitaxel-eluting . . . [Full Text of this Article]
Author Affiliations: The Heart Center of Greater Cincinnati and The Lindner Research Center at The Christ Hospital, Cincinnati, Ohio; and The Ohio State University, Columbus.
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