{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T06:58:59Z","timestamp":1785567539536,"version":"3.56.0"},"reference-count":25,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T00:00:00Z","timestamp":1785456000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T00:00:00Z","timestamp":1785456000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>The growing prevalence and severity of diffuse coronary artery disease (dCAD) necessitate the utilization of appropriate stenting techniques to ensure complete target lesion coverage. In clinical settings where overlapping stents are the norm, there is inconclusive evidence to determine whether using stents of the same identity produces better outcomes compared to stents that differ in material characteristics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and Results<\/jats:title>\n                    <jats:p>\n                      We conducted a retrospective observational cohort study at two high\u2010volume, tertiary cardiac care centers in India to determine the safety and efficacy of homogeneous overlapping stents (HOSTs) and heterogeneous overlapping stents (HESTs) in patients with dCAD undergoing percutaneous coronary intervention (PCI). Patients were stratified into complex and non\u2010complex subgroups based on pre\u2010specified clinical and angiographic criteria. Out of 12,920 interventions that were performed during the study period (January 2016 to December 2023), 972 procedures utilized overlapping stent strategies, of which 935 cases met the inclusion and exclusion criteria. HOSTs were used in 795 patients, while HESTs were used in 140 patients. To account for imbalances in the study population, inverse probability of treatment weighting (IPTW) was applied following propensity score adjustment via logistic regression modeling. During a mean follow\u2010up of 2.5 years, occurrence of major adverse cardiovascular events (MACE) was comparable between HOST and HEST groups in the unadjusted (odds ratio [OR] 0.91, 95% confidence interval [CI]: 0.59\u22121.42,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.67), as well as adjusted population (OR 1.05, 95% CI: 0.69\u22121.61,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.81). Similar trends were observed in the complexity\u2010stratified populations, with no evidence of benefit or harm associated with either stenting strategy.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Overlapping heterogeneous stents yield similar clinical outcomes as homogeneous stents, regardless of procedural complexity, suggesting that operators may use a \u201cmix\u2010and\u2010match\u201d strategy when ideal stent pairings are not feasible.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ccd.70781","type":"journal-article","created":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T06:37:37Z","timestamp":1785566257000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Long\u2010Term Cardiovascular Outcomes Following Percutaneous Coronary Intervention of Diffuse Coronary Artery Lesions With Overlapping Homogeneous Versus Heterogeneous Second\u2010Generation Drug\u2010Eluting Stents"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4979-596X","authenticated-orcid":false,"given":"Nagendra Boopathy","family":"Senguttuvan","sequence":"first","affiliation":[{"name":"Department of Cardiology Sri Ramachandra Institute of Higher Education and Research Chennai Tamil Nadu India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0389-9926","authenticated-orcid":false,"given":"Salman","family":"Salahuddin","sequence":"additional","affiliation":[{"name":"Department of Cardiology ASTER Malabar Institute of Medical Sciences (MIMS) Calicut Kerala India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rizwan Suliankatchi","family":"Abdulkader","sequence":"additional","affiliation":[{"name":"ICMR\u2010National Institute of Epidemiology Chennai Tamil Nadu 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