Antithrombotic Treatment After Coronary Intervention: Agreement and Controversy

Percutaneous revascularisation has evolved dramatically in the past few decades. The approach to the management of ischaemic heart disease has changed due to the development of new devices and techniques as well as the availability of new drugs and treatment strategies. Its use in combination with a...

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Main Authors: Tamara García Camarero, José M de la Torre Hernández
Format: Article
Language:English
Published: Radcliffe Medical Media 2020-02-01
Series:European Cardiology Review
Online Access:https://www.ecrjournal.com/articleindex/ecr.2019.25.2
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author Tamara García Camarero
José M de la Torre Hernández
author_facet Tamara García Camarero
José M de la Torre Hernández
author_sort Tamara García Camarero
collection DOAJ
description Percutaneous revascularisation has evolved dramatically in the past few decades. The approach to the management of ischaemic heart disease has changed due to the development of new devices and techniques as well as the availability of new drugs and treatment strategies. Its use in combination with antiplatelet therapies has been essential to protect against stent thrombosis. The length of time this combination therapy is used has been modified in recent years and has been the subject of extensive research. The effect of prolonging the time it is taken or shortening it has been evaluated in different clinical conditions. In practice, the decisions regarding antithrombotic therapy after percutaneous coronary intervention are informed by the patient’s profile and the characteristics of the procedures performed. In this article, we review the use of antiplatelet/anticoagulant therapy after percutaneous coronary intervention focusing on trials and guidelines addressing variable durations for combination regimens and the alternatives.
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spelling doaj-art-ee6142e66f9d4614b35c8e41a8d1ecd82025-08-20T02:39:16ZengRadcliffe Medical MediaEuropean Cardiology Review1758-37561758-37642020-02-011510.15420/ecr.2019.25.2Antithrombotic Treatment After Coronary Intervention: Agreement and ControversyTamara García Camarero0José M de la Torre Hernández1Department of Interventional Cardiology, Hospital Universitario Marques de Valdecilla, IDIVAL, Santander, SpainDepartment of Interventional Cardiology, Hospital Universitario Marques de Valdecilla, IDIVAL, Santander, SpainPercutaneous revascularisation has evolved dramatically in the past few decades. The approach to the management of ischaemic heart disease has changed due to the development of new devices and techniques as well as the availability of new drugs and treatment strategies. Its use in combination with antiplatelet therapies has been essential to protect against stent thrombosis. The length of time this combination therapy is used has been modified in recent years and has been the subject of extensive research. The effect of prolonging the time it is taken or shortening it has been evaluated in different clinical conditions. In practice, the decisions regarding antithrombotic therapy after percutaneous coronary intervention are informed by the patient’s profile and the characteristics of the procedures performed. In this article, we review the use of antiplatelet/anticoagulant therapy after percutaneous coronary intervention focusing on trials and guidelines addressing variable durations for combination regimens and the alternatives.https://www.ecrjournal.com/articleindex/ecr.2019.25.2
spellingShingle Tamara García Camarero
José M de la Torre Hernández
Antithrombotic Treatment After Coronary Intervention: Agreement and Controversy
European Cardiology Review
title Antithrombotic Treatment After Coronary Intervention: Agreement and Controversy
title_full Antithrombotic Treatment After Coronary Intervention: Agreement and Controversy
title_fullStr Antithrombotic Treatment After Coronary Intervention: Agreement and Controversy
title_full_unstemmed Antithrombotic Treatment After Coronary Intervention: Agreement and Controversy
title_short Antithrombotic Treatment After Coronary Intervention: Agreement and Controversy
title_sort antithrombotic treatment after coronary intervention agreement and controversy
url https://www.ecrjournal.com/articleindex/ecr.2019.25.2
work_keys_str_mv AT tamaragarciacamarero antithrombotictreatmentaftercoronaryinterventionagreementandcontroversy
AT josemdelatorrehernandez antithrombotictreatmentaftercoronaryinterventionagreementandcontroversy