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What We See in Real-World Practice Higher stent thrombosis rates Early AV fistula occlusion Recurrent DVT/PE despite therapy Poor response to CDT Higher ACT requirements during interventions Diabetes mellitus creates a chronic pro-thrombotic and anti-fibrinolytic milieu that functionally reduces the pharmacodynamic effectiveness of both antiplatelet and anticoagulant drugs, leading to higher on-treatment thrombosis despite standard therapy

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