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Published on: June 12, 2021
Antithrombotic Therapy in Patients with Complex Percutaneous Coronary Intervention and Cardiogenic Shock
Jose Ignacio Larrubia Valle1, Cristóbal A Urbano-Carrillo1, Francesco Costa2
1Unidad de Gestión Clínica de Cardiología, Hospital Regional Universitario de Malaga, Malaga 29010, Spain.
None:
Managing antithrombotic therapy in patients undergoing complex and high-risk in indicated patients, including those treated with complex percutaneous coronary intervention (PCI) or presenting with cardiogenic shock (CS), is challenging. This review highlights the critical role of antithrombotic therapy, during and after PCI, to optimize the efficacy while minimizing risks. Unfractionated heparin remains the mainstay anticoagulant for complex PCI and CS, with bivalirudin as a potential safer alternative. Cangrelor offers consistent antiplatelet effects, especially when timely absorption of oral agents is uncertain.
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