Coronary disease & ACSResearch article

Management of Coronary Stent Underexpansion

J Am Coll CardiolPublished

  • Narrative review

Study context

Population
Patients with coronary stent underexpansion after PCI

Main finding

As reported in the abstract

Stent underexpansion: associated risks, contributing factors and role of intravascular imaging
  • Stent underexpansion associated with increased risks of in-stent restenosis, stent thrombosis and MI
  • Contributing factors: severe calcification, inadequate lesion preparation, suboptimal stent deployment, preexisting in-stent restenosis
  • Intravascular ultrasound and optical coherence tomography essential tools in diagnosing and managing stent underexpansion
  • No consensus on optimal treatment

Original publication

Management of Coronary Stent Underexpansion. J Am Coll Cardiol. Published 18 February 2025. doi:10.1016/j.jacc.2024.12.009

Summarised from the published abstract; every number is checked against it