Top Highlights

• Stent failure remains the major drawback to the use of coronary stents as a revascularization strategy.
• It generates significant health care cost and is associated with an increased risk of death and rehospitalization.
• Emphasis is placed on frequent use of intracoronary imaging and assessment of timing to determine the precise etiology because that information is crucial to guide selection of the best treatment option
• SCAI recommends image-guided coronary stenting at the time of initial implantation to minimize the occurrence of stent failure.
• When in-stent restenosis and stent thrombosis are encountered, imaging should be strongly considered to optimize the subsequent approach.

Domain