Review Article

Stent Thrombosis: Incidence, Predictors and New Technologies

Table 4

Studies of ongoing randomized trials to assess optimal clopidogrel duration.

StudyPatient populationClopidogrel duration (months)Primary endpoint

ISAR-SAFE [64]Patients on clopidogrel 6 months alter DES6 versus 12Composite of death, MI, ST, stroke and major bleeding
DAPT [65]All-comers12 versus 30Composite of death, MI, SI, stroke and major bleeding
DAPT-STEMIAll STEMI patients6 versus 12MACCE
SECURITYSecond-generation DES6 versus 12Definite/probable ST
RESETAll-comers3Composite of cardiovascular death, MI, ST and major bleeding
OPTIMIZEStable CAD and NSTEMI3 versus 12Composite of death, MI, stroke and major bleeding

ISAR-SAFE: Intracoronary Stenting and Antithrombotic Regimen: Safety and Efficacy of 6 Months Dual Antiplatelet Therapy After Drug-Eluting Stenting; DAPT: Dual Antiplatelet Therapy Study; STEMI: ST Elevation Myocardial Infarction; SECURITY: SECond generation drUg-eluting stents implantation followed by six-versus twelve-month dual antIplatElet therapy; RESET: A New Strategy Regarding Discontinuation of Dual Antiplatelets; OPTIMIZE: Optimized Duration of Clopidogrel Therapy Following Treatment with the Endeavor Zotarolimus Eluting Stent in the Real World Clinical Practice; DES: drug-eluting stent; CAD: coronary artery disease; NSTEMI: non-ST elevation myocardial infarction; MI: myocardial infarction; ST: stent thrombosis; MACCE: major adverse cardiovascular and cerebrovascular events.