• Despite performing more complex percutaneous coronary interventions, the risk of perforation remains stable.
• Newer covered stents are lower profile, easier to deliver, and have high initial success rates but similar to older covered stents, the risk of thrombosis and restenosis remains.
• We propose routine intravascular imaging to optimize covered stents, avoid reversal of anticoagulation until hardware is removed from the coronary and vigilant follow-up for thrombosis and/or restenosis.

中文翻译：

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覆膜支架：最初可以挽救生命，但长期后果持续存在

• 尽管进行了更复杂的经皮冠状动脉介入治疗，但穿孔的风险保持稳定。
• 较新的覆膜支架轮廓更小、更易于输送且初始成功率较高，但与较旧的覆膜支架相似，血栓形成和再狭窄的风险仍然存在。
• 我们建议常规血管内成像以优化覆膜支架，避免在硬件从冠状动脉移除之前逆转抗凝，并警惕血栓形成和/或再狭窄的随访。