Drug-eluting stents vs. bare metal stents in elderly patients
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The optimal percutaneous coronary intervention (PCI) strategy and dual antiplatelet therapy (DAPT) duration in fragile patients remain unanswered. In clinical practice, fragile patients, such as elderly patients or patients with a high hemorrhagic risk, often receive bare metal stents (BMS) because they are associated with shorter DAPT duration. However, a new-generation drug-eluting stent (DES) followed by a short duration of DAPT appears to be safe and more efficacious in patients at a high risk for bleeding , including the elderly population . Moreover, a recent update of the European guidelines  recommends the following DAPT duration regardless of stent type: 6 months for stable angina, 12 months for unstable patients (i.e. those with acute coronary syndrome), and, even though with low evidence level, a shorter duration of DAPT in patient with a high risk of bleeding.
Elderly patients represent a fast-growing proportion of patients undergoing PCI; however, few...
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The authors declare that they have no conflict of interest.
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This article does not contain any studies with human participants or animals performed by any of the authors.
- 3.Valgimigli M, Bueno H, Byrne RA et al (2018) 2017 ESC focused update on dual antiplatelet therapy in coronary artery disease developed in collaboration with EACTS: the task force for dual antiplatelet therapy in coronary artery disease of the European Society of Cardiology (ESC) and of the European Association for Cardio-Thoracic Surgery (EACTS). Eur Heart J 39:213–260CrossRefPubMedGoogle Scholar