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Complex Antiplatelet Therapy Management in Patients Requiring Urgent Interventions for Pseudoachalasia and Esophageal

Charles Vallejo1, Kushinga Bvute1, Oscar L Hernandez1

  • 1Internal Medicine, Florida Atlantic University, Boca Raton, USA.

Cureus
|April 29, 2024
PubMed

Insights

Intravenous cangrelor provided effective antiplatelet bridging therapy for a patient unable to take oral medications after coronary stenting. This approach successfully prevented stent thrombosis during a necessary endoscopic procedure.

Area of Science:

  • Cardiology
  • Gastroenterology
  • Pharmacology

Background:

  • Coronary artery disease (CAD) and esophageal strictures pose complex management challenges.
  • Percutaneous coronary intervention (PCI) requires antiplatelet therapy, often with oral agents like clopidogrel.
  • Esophageal obstructions can prevent oral medication intake, necessitating alternative strategies.

Keywords:
antiplatelet therapycangrelorgastroenterology and endoscopyplavixprimary percutaneous coronary intervention (pci)

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