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Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
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Published on: March 15, 2022

Coronary revascularization in a patient with immune thrombocytopenic purpura

Man-Cai Fong1, Kuan-Chun Chen, Hsin-Bang Leu

  • 1Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taiwan, ROC.

Journal of the Chinese Medical Association : JCMA
|October 21, 2006
PubMed

Immune thrombocytopenic purpura (ITP) is a bleeding disorder characterized by premature platelet destruction mediated by autoantibodies. We report a 71-year-old ITP patient with concomitant acute coronary syndrome. Cardiac catheterization was performed through the right radial artery and premedicated with immunoglobulin. Left anterior descending artery was stented, followed by clopidogrel treatment for 7 weeks without major bleeding complication. The patient has been observed for 2 years without clinical restenosis. We suggest that stent implantation is a safe treatment in this special condition. Treatment should be individualized, but it is still a challenge to balance bleeding and thrombosis complication.

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