Sławomir Pawłowski

Mr. Sławomir Pawłowski

orcid

Research Focus & Metrics

Academic Career Length

3Years (2024-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

View All Publications
17 March 2024 in Journal of Clinical Medicine
Verified
Journal Article
Open access
PDF file
JFJoanna Fluder-Wlodarczyk
Joanna Fluder-Wlodarczyk
SPSławomir Pawłowski
Sławomir Pawłowski
PCPiotr Chuchra
Piotr Chuchra
TPTomasz Zbigniew Pawlowski
Tomasz Zbigniew Pawlowski
WWWojtek Wojakowski
Wojtek Wojakowski
PGPawel M. Gasior
Pawel M. Gasior
Dual antiplatelet therapy (DAPT) is mandatory after percutaneous coronary intervention (PCI) with drug-eluting stent (DES) implantation, but optimal DAPT duration remains a topic of intense discussion. The shorter regimen of DAPT might be especially beneficial for high-bleeding-risk (HBR) patients. Novel stent platforms have been designed with innovations that should facilitate vessel healing following stent implantation and enable short DAPT. This review aimed to summarize evidence of the neointimal coverage of short-term stents and their implications for DAPT duration. Results from histological and optical coherence tomography (OCT) studies confirm the significant role of uncovered struts after the implantation of a stent in patients presenting with late stent thrombosis. Several studies have shown favorable vessel healing at one month (with 83.2% of covered struts, on average) and three months following stent implantation (with 93.3% of covered struts, on average). Solely HBR patient trials have proven that one month of DAPT can be applicable and safe in this population. Three-month DAPT was tested in a more diverse population and remains effective and safe in comparison to a longer DAPT regimen. That evidence proves that short-term DAPT might be applicable, especially for HBR patients.