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. 2022 Jun 3;18(2):e103–e123. doi: 10.4244/EIJ-D-21-01034

Table 1. Comparison of the principal imaging and histological features of restenotic tissue after drug-eluting stent and bare metal stent implantation.

Bare metal stent restenosis Drug-eluting stent restenosis
Imaging features
Angiographic morphology Diffuse pattern more common Focal pattern more common
OCT tissue properties Homogenous, high signal band most common Layered structure or heterogenous most common
Time course of late luminal loss Late loss maximal by 6-8 months Ongoing late loss out to 5 years
Histopathological features
Smooth muscle cellularity Rich Hypocellular
Proteoglycan content Moderate High
Peri-strut fibrin and inflammation Occasional Frequent
Complete endothelialisation 3-6 months Up to 48 months
Thrombus present Occasional Occasional
Neoatherosclerosis Relatively infrequent, late Relatively frequent, accelerated course
OCT: optical coherence tomography