New Statements for Public Comment | SCAI

SCAI is seeking your comments on the Expert Consensus Statement on Management of In-Stent Restenosis and Stent Thrombosis

The Society for Cardiovascular Angiography and Interventions is now accepting comments on the Expert Consensus Statement on Management of In-Stent Restenosis and Stent Thrombosis. Anyone may submit comments, including SCAI members and non-member physicians and healthcare professionals, patients, caregivers, researchers, industry stakeholders, and insurance companies. 

If you would like to submit a comment, please:

  1. Download the statement.
  2. Review the writing group disclosures.
  3. Complete the comment survey.

Feedback is requested by Monday, February 13th.

You must complete the whole comments process in one sitting as your progress cannot be saved until the end. The process will take between 5 and 15 minutes to complete depending on the number of comments you have to offer.

About the Statement

Coronary stenting has transformed revascularization strategy, producing excellent procedural and clinical outcomes in myriad clinical settings. Despite these proven short- and long-term benefits, in-stent restenosis (ISR) and stent thrombosis (ST) continue to be limitations. There remains no definitive management approach for either condition despite a greater understanding of the underlying mechanisms ensuing from advances in intracoronary imaging.

In this SCAI Expert Consensus Statement, practical algorithmic approaches to ISR & ST are offered. A pragmatic outline of assessment and management of patients presenting with stent failure is presented. A new SCAI Classification of a time-sensitive classification with mechanistic implications of ISR is proposed. Emphasis is placed on frequent use of intracoronary imaging and assessment of timing to determine the precise etiology, as that information is crucial to guide selection of the best treatment option.

Development of the statement is sponsored by the Society for Cardiovascular Angiography and Interventions (SCAI).

About the Public Comment Period

SCAI develops evidence-based guidance through a rigorous process to help health care providers and patients make decisions, minimize inappropriate practice variation, promote effective resource use, improve clinical outcomes, and direct future research. For a detailed description of the development process and methodology, please refer to the SCAI Publications Committee Manual of Standard Operating Procedures.

Draft statements are made available for public comment before society approval and publication with the aim of engaging key stakeholders in a transparent and rigorous development effort. At the end the comment period, the writing group will review the feedback received and may revise the statement in response. Comments may also inform SCAI’s communication and implementation plan and future updates of the material. Individuals or organizations that provide comments will not typically be identified by name within the final published guidelines.