Table. Risk factors for the development of in-stent restenosis.
Patient-related risk factors | Stent-related risk factors | Lesion-related risk factors | Implantation-related risk factors |
Diabetes mellitus (4, 17, 21) | BMS (versus DES) (4, 17) | Small target vessel (4, 17, 18) | Inadequate stent expansion (22– 25) – Stent malapposition to the vessel wall (24) – Reduced minimum lumen area in the stent (24) – Non-symmetric stent expansion (24) |
Arterial hypertension (21) | First-generation DES (versus newer generations) (4, 17, 18) | Ostial lesion (21) | Final diameter stenosis (18) |
Previous bypass surgery (17, 18) | Thick stent struts (4, 20) | Longer stented lesion (4, 17) | |
Heart failure (21) | Complex morphology of the lesion (4, 17) | ||
Length of the stenosis (>20mm) (21, 26) |
BMS, bare metal stent; DES, drug-eluting stent