First Case Report of Successful PCI with Thrombocytopenia Treated with Partial Splenic Artery Embolization

Toshiki Kaihara1, Yasuhiro Tanabe1, Takumi Higuma1

  • 1Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine, Kanagawa, Japan.

Insights

This case report details a novel approach for treating angina in a patient with severe thrombocytopenia. Partial splenic artery embolization successfully increased platelet count, enabling percutaneous coronary intervention with a drug-eluting stent.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Hematology

Background:

  • Thrombocytopenia poses significant challenges for dual antiplatelet therapy (DAPT) following drug-eluting stent (DES) implantation.
  • Standard treatments like coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) were not feasible for this patient due to low platelet counts.

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