Antithrombotic therapy with intracoronary stenting

Antithrombotic therapy with intracoronary stenting.

Following the first report of successful intracoronary stenting in humans, there was early enthusiasm for the potential of this technology to prevent occlusion or restenosis following angioplasty. Such enthusiasm however was quickly tempered by concerns regarding early thrombotic stent occlusion and its associated high risk of myocardial infarction or death, following the report of a 24% incide...

Antithrombotic Therapy Post Endovascular Stenting for Superior Vena Cava Syndrome.

Superior vena cava syndrome results in obstruction of the superior vena cava and commonly requires intervention. Stents are often used to increase the patency of the vena cava and to prevent reocclusion. The role of antithrombotic therapy and agents to use has been highly debated due to stent location, hematologic complications, and limited clinical evidence available on the topic. This comment...

Antithrombotic therapy in patients with atrial fibrillation undergoing coronary stenting: a North American perspective: executive summary.

The optimal regimen of the anticoagulant and antiplatelet therapies in patients with atrial fibrillation who have had a coronary stent is unclear. It is well recognized that "triple therapy" with aspirin, clopidogrel, and warfarin is associated with an increased risk of bleeding. National guidelines have not made specific recommendations, given the lack of adequate data. In choosing the best an...

Antithrombotic therapy after coronary artery stenting in patients with atrial fibrillation.

Intracoronary stenting: developments since the NICE report.

The National Institute for Clinical Excellence (NICE) was established in the light of a perceived need for a regulatory body to review the efficacy of existing and new treatments and to appraise technological developments. It was seen as being important for the following reasons: (1) there was and is slow uptake, even of innovations of perceived benefit; (2) judgements on the interpretation or ...