| Autor: |
Alexander E, Sullivan, Michael G, Nanna, Tracy Y, Wang, Deepak L, Bhatt, Dominick J, Angiolillo, Roxana, Mehran, Subhash, Banerjee, Sarah, Cantrell, W Schuyler, Jones, Jennifer A, Rymer, Jeffrey B, Washam, Sunil V, Rao, E Magnus, Ohman |
| Rok vydání: |
2021 |
| Předmět: |
|
| Zdroj: |
Journal of the American College of Cardiology. 78(15) |
| ISSN: |
1558-3597 |
| Popis: |
Patients undergoing early surgery after coronary stent implantation are at increased risk for mortality from ischemic and hemorrhagic complications. The optimal antiplatelet strategy in patients who cannot discontinue dual antiplatelet therapy (DAPT) before surgery is unclear. Current guidelines, based on surgical and clinical characteristics, provide risk stratification for bridging therapy with intravenous antiplatelet agents, but management is guided primarily by expert opinion. This review summarizes perioperative risk factors to consider before discontinuing DAPT and reviews the data for intravenous bridging therapies. Published reports have included bridging options such as small molecule glycoprotein IIb/IIIa inhibitors (eptifibatide or tirofiban) and cangrelor, an intravenous P2Y |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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