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Bleeding avoidance strategies in percutaneous coronary intervention

Capodanno, Davide (författare)
Division of Cardiology, Azienda Ospedaliero-Universitaria Policlinico “G. Rodolico-San Marco”, University of Catania, Catania, Italy
Bhatt, Deepak L (författare)
Department of Medicine, Brigham and Women’s Hospital Heart & Vascular Center, Harvard Medical School, Boston, MA, USA
Gibson, C Michael (författare)
Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA
visa fler...
James, Stefan, 1964- (författare)
Uppsala universitet,Institutionen för medicinska vetenskaper,Uppsala kliniska forskningscentrum (UCR)
Kimura, Takeshi (författare)
Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan
Mehran, Roxana (författare)
Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA
Rao, Sunil V (författare)
The Duke Clinical Research Institute, Durham, NC, USA
Steg, Philippe Gabriel (författare)
Département Hospitalo-Universitaire FIRE, AP-HP, Hôpital Bichat, Paris, France
Urban, Philip (författare)
Hôpital de la Tour, Geneva, Switzerland
Valgimigli, Marco (författare)
Cardiocentro Ticino Institute and Università della Svizzera italiana (USI), Lugano, Switzerland
Windecker, Stephan (författare)
Department of Cardiology, Bern University Hospital, Bern, Switzerland
Angiolillo, Dominick J (författare)
University of Florida College of Medicine, Jacksonville, FL, USA
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Division of Cardiology, Azienda Ospedaliero-Universitaria Policlinico “G Rodolico-San Marco”, University of Catania, Catania, Italy Department of Medicine, Brigham and Women’s Hospital Heart & Vascular Center, Harvard Medical School, Boston, MA, USA (creator_code:org_t)
2022
2022
Engelska.
Ingår i: Nature Reviews Cardiology. - : Springer Nature. - 1759-5002 .- 1759-5010. ; 19:2, s. 117-132
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
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  • For many years, bleeding has been perceived as an unavoidable consequence of strategies aimed at reducing thrombotic complications in patients undergoing percutaneous coronary intervention (PCI). However, the paradigm has now shifted towards bleeding being recognized as a prognostically unfavourable event to the same extent as having a new or recurrent ischaemic or thrombotic complication. As such, in parallel with progress in device and drug development for PCI, there is clinical interest in developing strategies that maximize not only the efficacy but also the safety (for example, by minimizing bleeding) of any antithrombotic treatment or procedural aspect before, during or after PCI. In this Review, we discuss contemporary data and aspects of bleeding avoidance strategies in PCI, including risk stratification, timing of revascularization, pretreatment with antiplatelet agents, selection of vascular access, choice of coronary stents and antithrombotic treatment regimens.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kardiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)

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