INTRODUCTION
thrombosis, CAD, restenosis
THROMBOSIS, RESTENOSIS, CORONARY ARTERY DISEASE, CAD
Multiple overlapping stent implantations are usually required for treating diffuse long coronary artery disease (CAD). The current generation of drug‐eluting stents (DESs) revealed excellent safety and efficacy across a broad range of patients and lesion subsets; however, lesion length remains a significant predictor of adverse outcomes, including restenosis and stent thrombosis.Therefore, using ultra‐long 48 mm DES to cover the diseased segment with a minimal number of stents is highly appealing. However, delivering the ultra‐long DES may be challenging, especially in tortuous or severely calcified coronary arteries. Moreover, discrepancies in reference vessel diameters (RVDs) between the proximal and distal landing zones may make selecting the appropriate stent size challenging.The aim of this study was to evaluate the procedural success and 1‐year safety and efficacy of the ultra‐long DES implantation compared to multiple overlapping conventional DESs in treating diffuse long CAD in real‐world practice.