Provides updated 2009 ACC/AHA/SCAI guidelines on the use of stents in patients with STEMI undergoing PCI, emphasizing the need to assess bleeding risk and DAPT compliance.
Assess DAPT compliance, bleeding risk, and surgical needs before stenting in STEMI; extends 2009 guidelines with explicit patient-factor guidance.
Consideration for the use of stents (DES or BMS) in STEMI should include the ability of the patient to comply with prolonged dual-antiplatelet therapy, the bleeding risk in patients undergoing chronic oral anticoagulation, and the possibility that the patient may need surgery during the ensuing year. 28 y For example, small vessels, long lesions, or diabetes mellitus. This recommendation applies to primary and nonprimary PCI patients with STEMI.
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Kushner et al. (2009) studied this question.
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