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However, despite these developments, in\u2010stent restenosis and stent thrombosis remain the Achilles' heel of percutaneous coronary intervention, with their cumulative incidence reaching up to 10% at 5\u2009years following percutaneous coronary intervention. The treatment of stent failure poses challenges and is associated with a worse prognosis than conventional percutaneous coronary intervention. Several studies have recently highlighted the value of intravascular imaging in identifying causes of stent failure, underscored its role in treatment planning, and registries have shown that its use may be associated with better clinical outcomes. The present review aims to summarize the evidence in the field; it discusses the value of intravascular imaging in identifying the mechanisms of in\u2010stent restenosis and stent thrombosis in assessing the morphological characteristics of neointima tissue that appears to determine long\u2010term outcomes in evaluating procedural results, and presents the findings of studies supporting its value in guiding therapy in stent failure.<\/jats:p>","DOI":"10.1161\/jaha.122.026492","type":"journal-article","created":{"date-parts":[[2022,11,3]],"date-time":"2022-11-03T10:35:08Z","timestamp":1667471708000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":73,"title":["Intravascular Imaging for Guiding In\u2010Stent Restenosis and Stent Thrombosis 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