Optical Coherence Tomography Facilitating Early Withdrawal of Antiplatelet Agents in a High–Bleeding Risk Patient

Optical Coherence Tomography Facilitating Early Withdrawal of Antiplatelet Agents in a High–Bleeding Risk Patient

Optical coherence tomography (OCT) can guide percutaneous coronary interventions to optimize results, thus minimizing the risk of stent thrombosis. We present the case of a cancer patient, paroxysmal atrial fibrillation, and unstable angina who underwent OCT–guided complex percutaneous coronary inte...

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Main Authors: Ioannis Gkirdis, MD, Dimitrios N. Nikas, MD, MS, PhD, Theodora Bampali, MD, Theofilos M. Kolettis, MD, PhD
Format: Article
Language:English
Published: Elsevier 2020-07-01
Series:JACC: Case Reports
Subjects:
DOAC
high bleeding risk
optical coherence tomography
unprotected left main angioplasty
Online Access:http://www.sciencedirect.com/science/article/pii/S2666084920304873
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spelling doaj-4d485339cfe149529593d80b41d390d82021-06-07T06:56:21ZengElsevierJACC: Case Reports2666-08492020-07-012811861191Optical Coherence Tomography Facilitating Early Withdrawal of Antiplatelet Agents in a High–Bleeding Risk PatientIoannis Gkirdis, MD0Dimitrios N. Nikas, MD, MS, PhD1Theodora Bampali, MD2Theofilos M. Kolettis, MD, PhD3Address for correspondence: Dr. Ioannis P. Gkirdis, First Cardiology Department, Ioannina University Hospital, St. Niarchos Avenue, 455 00 Ioannina, Greece.; First Cardiology Department, Ioannina University Hospital, Ioannina, GreeceFirst Cardiology Department, Ioannina University Hospital, Ioannina, GreeceFirst Cardiology Department, Ioannina University Hospital, Ioannina, GreeceFirst Cardiology Department, Ioannina University Hospital, Ioannina, GreeceOptical coherence tomography (OCT) can guide percutaneous coronary interventions to optimize results, thus minimizing the risk of stent thrombosis. We present the case of a cancer patient, paroxysmal atrial fibrillation, and unstable angina who underwent OCT–guided complex percutaneous coronary intervention and who required early discontinuation of antiplatelet therapy because of major bleeding. (Level of Difficulty: Beginner.)http://www.sciencedirect.com/science/article/pii/S2666084920304873DOAChigh bleeding riskoptical coherence tomographyunprotected left main angioplasty
collection DOAJ
language English
format Article
sources DOAJ
author Ioannis Gkirdis, MD
Dimitrios N. Nikas, MD, MS, PhD
Theodora Bampali, MD
Theofilos M. Kolettis, MD, PhD
spellingShingle Ioannis Gkirdis, MD
Dimitrios N. Nikas, MD, MS, PhD
Theodora Bampali, MD
Theofilos M. Kolettis, MD, PhD
Optical Coherence Tomography Facilitating Early Withdrawal of Antiplatelet Agents in a High–Bleeding Risk Patient
JACC: Case Reports
DOAC
high bleeding risk
optical coherence tomography
unprotected left main angioplasty
author_facet Ioannis Gkirdis, MD
Dimitrios N. Nikas, MD, MS, PhD
Theodora Bampali, MD
Theofilos M. Kolettis, MD, PhD
author_sort Ioannis Gkirdis, MD
title Optical Coherence Tomography Facilitating Early Withdrawal of Antiplatelet Agents in a High–Bleeding Risk Patient
title_short Optical Coherence Tomography Facilitating Early Withdrawal of Antiplatelet Agents in a High–Bleeding Risk Patient
title_full Optical Coherence Tomography Facilitating Early Withdrawal of Antiplatelet Agents in a High–Bleeding Risk Patient
title_fullStr Optical Coherence Tomography Facilitating Early Withdrawal of Antiplatelet Agents in a High–Bleeding Risk Patient
title_full_unstemmed Optical Coherence Tomography Facilitating Early Withdrawal of Antiplatelet Agents in a High–Bleeding Risk Patient
title_sort optical coherence tomography facilitating early withdrawal of antiplatelet agents in a high–bleeding risk patient
publisher Elsevier
series JACC: Case Reports
issn 2666-0849
publishDate 2020-07-01
description Optical coherence tomography (OCT) can guide percutaneous coronary interventions to optimize results, thus minimizing the risk of stent thrombosis. We present the case of a cancer patient, paroxysmal atrial fibrillation, and unstable angina who underwent OCT–guided complex percutaneous coronary intervention and who required early discontinuation of antiplatelet therapy because of major bleeding. (Level of Difficulty: Beginner.)
topic DOAC
high bleeding risk
optical coherence tomography
unprotected left main angioplasty
url http://www.sciencedirect.com/science/article/pii/S2666084920304873
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