复合经皮冠状动脉介入治疗中双重抗血小板治疗的类型和持续时间

Q4 Medicine

US Cardiology Review Pub Date : 2020-03-22 DOI:10.15420/usc.2020.13

D. Alexopoulos, C. Varlamos, Despoina-Rafailia Benetou

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引用次数: 0

摘要

复杂经皮冠状动脉介入治疗(PCI)患者是缺血性并发症的高危人群。这类患者的抗血小板治疗仍然存在争议，因为使用更有效的药物或延长双重抗血小板治疗(DAPT)对动脉粥样硬化血栓并发症的有益作用受到伴随出血率增加的阻碍。本文的目的是描述与复杂PCI手术相关的缺血和出血结果，并在安全性和有效性结果方面比较不同类型和持续时间的DAPT方案。问题有关特殊患者群体，如那些左主干，慢性全闭塞，或分叉病变，讨论。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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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 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.

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来源期刊

US Cardiology Review Medicine-Cardiology and Cardiovascular Medicine

CiteScore

1.10

自引率

0.00%

发文量

审稿时长

10 weeks

期刊介绍： US Cardiology Review (USC) is an international, US-English language, peer-reviewed journal that is published bi-annually and aims to assist time-pressured physicians to stay abreast of key advances and opinion in the area of cardiovascular disease. The journal comprises balanced and comprehensive review articles written by leading authorities. The journal provides updates on a range of salient issues to support physicians in developing their knowledge and effectiveness in day-to-day clinical practice. The journal endeavours to support the continuous medical education of specialist and general cardiologists and disseminate knowledge of the field to the wider cardiovascular community.