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  • Technology viewpoint: Evolution in PCI: The next major advance in implant technology to restore vessel function

    During the evolution of percutaneous coronary intervention (PCI) from balloon angioplasty to bare metal stents (BMS) and subsequently, to 1st and 2nd generation drug-eluting stents (DES), early coronary occlusion (thrombosis, dissection) and late (one-year) restenosis rates have progressively declined [  ]. Although iterations in metallic DES including novel metal alloy composition, reduced strut thickness and improved polymer biocompatibility and/or resorption, have contributed to improved outcomes, concerns regarding incomplete endothelialization, polymer hypersensitivity, neoatherosclerosis and stent fracture persist.

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