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A Therapeutic Dilemma - Coronary Artery Stenting in the Setting of Thrombocytopaenia

Kiron Varghese1, Michelle Viegas1, Srilakshmi M Adhyapak1

  • 1Department of Cardiology, St. John's Medical College Hospital, Bangalore, India.

Heart, Lung & Circulation
|September 21, 2015
PubMed

Coronary artery interventions in the setting of Immune Thrombocytopaenic Purpura (ITP) carry the twin risks of bleeding and thrombosis related to the mandatory dual anti-platelet therapy. This condition therefore may require a splenectomy prior to the coronary intervention. Surgical splenectomy in the presence of high-grade coronary stenosis carries greater morbidity and mortality. We report here a unique solution to this therapeutic dilemma, which was splenic artery embolisation followed by percutaneous coronary intervention (PCI).

Keywords:
Embolisation.Idiopathic Thrombocytopaenic PurpuraPercutaneous coronary interventionsSplenic artery

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