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In their single-center registry, Orford et al. (1)considered stent thrombosis to have occurred when death was sudden and unexplained (11 patients), when a myocardial infarction (MI) occurred in the territory of the treated vessel (9 patients), or, in one case, on the basis of diagnostic angiography alone. Two patients did not fulfill these criteria, but were inexplicably included in the stent thrombosis group. The investigators conclude that, when stent thrombosis occurs, the majority of patients either die or have a nonfatal MI; however, this is only a consequence of the definition of stent thrombosis used by the investigators.
- American College of Cardiology Foundation