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More than 90% of percutaneous coronary interventions also involve stent placement. Stent thrombosis is a major complication of stent placement, and preventing it is the main goal of post-stent management. To determine the optimal approach to post-stent management, researchers conducted a structured literature review of 91 randomized trials, systematic reviews, and meta-analyses.
Dual antiplatelet therapy with long-term, low-dose aspirin (75–100 mg daily) plus a P2Y12-receptor inhibitor (usually clopidogrel) for 1 year after stent placement is the standard recommendation. Although this recommendation applies to both drug-eluting and bare-metal stents, a shorter duration of clopidogrel therapy (minimum of 1 month) is considered to be permissib…