Type and Duration of Dual Antiplatelet Therapy in Complex Percutaneous Coronary Intervention
Complex percutaneous coronary intervention (PCI) patients are a high-risk population for ischemic complications. Antiplatelet therapy in such patients remains controversial, as the beneficial effects of more potent agents use or prolonged dual antiplatelet treatment (DAPT) on atherothrombotic compli...
Main Authors: | , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Radcliffe Medical Media
2020-11-01
|
Series: | US Cardiology Review |
Online Access: | https://www.uscjournal.com/articles/type-and-duration-of-dual-antiplatelet-therapy |
_version_ | 1797200055706320896 |
---|---|
author | Dimitrios Alexopoulos Charalampos Varlamos Despoina-Rafailia Benetou |
author_facet | Dimitrios Alexopoulos Charalampos Varlamos Despoina-Rafailia Benetou |
author_sort | Dimitrios Alexopoulos |
collection | DOAJ |
description | Complex percutaneous coronary intervention (PCI) patients are a high-risk population for ischemic complications. Antiplatelet therapy in such patients remains controversial, as the beneficial effects of more potent agents use or prolonged dual antiplatelet treatment (DAPT) on atherothrombotic complications are hindered by a concomitant increase in bleeding rates. The aim of this article is to describe ischemic and bleeding outcomes associated with complex PCI procedures and to compare different types and durations of DAPT regimens in terms of safety and efficacy outcomes. Issues concerning special patient groups, such as those with left main, chronic total occlusion, or bifurcation lesions, are discussed. |
first_indexed | 2024-03-07T17:41:00Z |
format | Article |
id | doaj.art-7cd2d99bafad4623b7befa5181ab0d7c |
institution | Directory Open Access Journal |
issn | 1758-3896 1758-390X |
language | English |
last_indexed | 2024-04-24T07:25:34Z |
publishDate | 2020-11-01 |
publisher | Radcliffe Medical Media |
record_format | Article |
series | US Cardiology Review |
spelling | doaj.art-7cd2d99bafad4623b7befa5181ab0d7c2024-04-20T16:02:01ZengRadcliffe Medical MediaUS Cardiology Review1758-38961758-390X2020-11-011410.15420/usc.2020.13Type and Duration of Dual Antiplatelet Therapy in Complex Percutaneous Coronary InterventionDimitrios Alexopoulos0Charalampos Varlamos1Despoina-Rafailia Benetou2Second Department of Cardiology, Attikon University Hospital, National and Kapodistrian University of Athens Medical School, Athens, GreeceSecond Department of Cardiology, Attikon University Hospital, National and Kapodistrian University of Athens Medical School, Athens, GreeceSecond Department of Cardiology, Attikon University Hospital, National and Kapodistrian University of Athens Medical School, Athens, GreeceComplex percutaneous coronary intervention (PCI) patients are a high-risk population for ischemic complications. Antiplatelet therapy in such patients remains controversial, as the beneficial effects of more potent agents use or prolonged dual antiplatelet treatment (DAPT) on atherothrombotic complications are hindered by a concomitant increase in bleeding rates. The aim of this article is to describe ischemic and bleeding outcomes associated with complex PCI procedures and to compare different types and durations of DAPT regimens in terms of safety and efficacy outcomes. Issues concerning special patient groups, such as those with left main, chronic total occlusion, or bifurcation lesions, are discussed.https://www.uscjournal.com/articles/type-and-duration-of-dual-antiplatelet-therapy |
spellingShingle | Dimitrios Alexopoulos Charalampos Varlamos Despoina-Rafailia Benetou Type and Duration of Dual Antiplatelet Therapy in Complex Percutaneous Coronary Intervention US Cardiology Review |
title | Type and Duration of Dual Antiplatelet Therapy in Complex Percutaneous Coronary Intervention |
title_full | Type and Duration of Dual Antiplatelet Therapy in Complex Percutaneous Coronary Intervention |
title_fullStr | Type and Duration of Dual Antiplatelet Therapy in Complex Percutaneous Coronary Intervention |
title_full_unstemmed | Type and Duration of Dual Antiplatelet Therapy in Complex Percutaneous Coronary Intervention |
title_short | Type and Duration of Dual Antiplatelet Therapy in Complex Percutaneous Coronary Intervention |
title_sort | type and duration of dual antiplatelet therapy in complex percutaneous coronary intervention |
url | https://www.uscjournal.com/articles/type-and-duration-of-dual-antiplatelet-therapy |
work_keys_str_mv | AT dimitriosalexopoulos typeanddurationofdualantiplatelettherapyincomplexpercutaneouscoronaryintervention AT charalamposvarlamos typeanddurationofdualantiplatelettherapyincomplexpercutaneouscoronaryintervention AT despoinarafailiabenetou typeanddurationofdualantiplatelettherapyincomplexpercutaneouscoronaryintervention |