Antiplatelet therapy is key to reducing local thrombotic complications and systemic ischaemic events among patients undergoing percutaneous coronary interventions (PCI), but it is inevitably associated with increased bleeding. The continuous refinement in stent technologies, together with the high incidence of ischaemic recurrences after PCI and the understanding of prognostic implications associated with bleeding, have led to a substantial evolution in antiplatelet treatment regimens over the past decades. Numerous investigations have been conducted to better stratify patients undergoing PCI according to their ischaemic and bleeding risks and to implement antithrombotic regimens accordingly. Evidence from these investigations have resulted in a number of antithrombotic treatment options as recommended by recent guidelines. In this State-of-the-Art review we provide the rationale, summarise the evidence, and discuss current and future directions of antiplatelet treatment regimens after PCI.

Antiplatelet therapy after percutaneous coronary intervention / Angiolillo, Dominick J.; Galli, Mattia; Collet, Jean-Philippe; Kastrati, Adnan; O'Donoghue, Michelle L.. - In: EUROINTERVENTION. - ISSN 1774-024X. - 17:17(2022), pp. 1371-1396. [10.4244/EIJ-D-21-00904]

Antiplatelet therapy after percutaneous coronary intervention

Galli, Mattia;
2022

Abstract

Antiplatelet therapy is key to reducing local thrombotic complications and systemic ischaemic events among patients undergoing percutaneous coronary interventions (PCI), but it is inevitably associated with increased bleeding. The continuous refinement in stent technologies, together with the high incidence of ischaemic recurrences after PCI and the understanding of prognostic implications associated with bleeding, have led to a substantial evolution in antiplatelet treatment regimens over the past decades. Numerous investigations have been conducted to better stratify patients undergoing PCI according to their ischaemic and bleeding risks and to implement antithrombotic regimens accordingly. Evidence from these investigations have resulted in a number of antithrombotic treatment options as recommended by recent guidelines. In this State-of-the-Art review we provide the rationale, summarise the evidence, and discuss current and future directions of antiplatelet treatment regimens after PCI.
2022
antiplatelet therapy; percutaneous coronary intervention
01 Pubblicazione su rivista::01a Articolo in rivista
Antiplatelet therapy after percutaneous coronary intervention / Angiolillo, Dominick J.; Galli, Mattia; Collet, Jean-Philippe; Kastrati, Adnan; O'Donoghue, Michelle L.. - In: EUROINTERVENTION. - ISSN 1774-024X. - 17:17(2022), pp. 1371-1396. [10.4244/EIJ-D-21-00904]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1716334
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