Optimal Treatment of Tapered Coronary Artery Lesions

The success of a PCI is best defined by three related components: post-procedure angiographic outcomes, procedural events, and longer-term clinical outcomes. Stenting of long and complex lesions is associated with higher risk of stent thrombosis and restenosis even at long term follow-up. Tapered lesions (i.e., a significant mismatch between proximal and distal reference lumen diameters (RLD)) of the target coronary artery lesion may pose particular challenges during PCI and impact outcomes.

Automated summary

The success of PCI is defined by post-procedure angiographic outcomes, procedural events, and longer-term clinical outcomes. Stenting long and complex lesions increases the risk of stent thrombosis and restenosis even in the long term. Tapered lesions in the target coronary artery lesion can pose challenges during PCI and affect the outcomes.