Diabetes e612 5.9.3. Women e612 5.9.4. CKD: Recommendation e612 5.9.5. Cardiac Allografts e612 5.10. Periprocedural MI Assessment: Recommendations e613 5.11. Vascular Closure Devices: Recommendations e613 6. Postprocedural Considerations e613 6.1. Postprocedural Antiplatelet Therapy: Recommendations e613 6.1.1. PPIs and Antiplatelet Therapy: Recommendations e615 6.1.2. Clopidogrel Genetic Testing: Recommendations e615 6.1.3. Platelet Function Testing: Recommendations e616 6.2. Stent Thrombosis e616 6.3. Restenosis: Recommendations e616 6.3.1. Background and Incidence e616 6.3.2. Restenosis After Balloon Angioplasty e617 6.3.3. Restenosis After BMS e617 6.3.4. Restenosis After DES e617 6.4. Clinical Follow-Up e617 6.4.1. Exercise Testing: Recommendations e617 6.4.2. Activity and Return to Work e618 6.4.3. Cardiac Rehabilitation: Recommendation e618 6.5. Secondary Prevention e618 7. Quality and Performance Considerations e618 7.1. Quality and Performance: Recommendations e618 7.2. Training e619 7.3. Certification and Maintenance of Certification: Recommendation e619 7.4. Operator and Institutional Competency and Volume: Recommendations e619 7.5. Participation in ACC NCDR or National Quality Database e620 8. Future Challenges e620 References e620 Appendix 1. Author Relationships With Industry and Other Entities (Relevant) e643 Appendix 2. Reviewer Relationships With Industry and Other Entities (Relevant) e645 Appendix 3. Abbreviation List e648 Appendix 4. Additional Tables/Figures e649 Preamble The medical profession should play a central role in evalu- ating the evidence related to drugs, devices, and procedures for the detection, management, and prevention of disease. When properly applied, expert analysis of available data on the benefits and risks of these therapies and procedures can improve the quality of care, optimize patient outcomes, and favorably affect costs by focusing resources on the most effective strategies. An organized and directed approach to a thorough review of evidence has resulted in the production of clinical practice guidelines that assist physicians in selecting the best management strategy for an individual patient. 