Display options
Share it on

JACC Case Rep. 2020 Jul 15;2(8):1186-1191. doi: 10.1016/j.jaccas.2020.04.049. eCollection 2020 Jul.

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

JACC. Case reports

Ioannis Gkirdis, Dimitrios N Nikas, Theodora Bampali, Theofilos M Kolettis

Affiliations

  1. First Cardiology Department, Ioannina University Hospital, Ioannina, Greece.

PMID: 34317445 PMCID: PMC8311683 DOI: 10.1016/j.jaccas.2020.04.049

Abstract

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. (

© 2020 The Authors.

Keywords: DK, double-kissing; DOAC; DOAC, direct oral anticoagulant; LAD, left anterior descending coronary artery; LCx, left circumflex coronary artery; LM, left main coronary artery; OAC, oral anticoagulant agent; OCT, optical coherence tomography; PCI, percutaneous coronary intervention; high bleeding risk; optical coherence tomography; unprotected left main angioplasty

References

  1. J Am Coll Cardiol. 2019 Jul 9;74(1):104-132 - PubMed
  2. Eur Heart J. 2016 Oct 7;37(38):2893-2962 - PubMed
  3. Circulation. 2011 Sep 13;124(11):1283-7 - PubMed
  4. PLoS One. 2014 Dec 05;9(12):e114445 - PubMed
  5. N Engl J Med. 2017 Aug 3;377(5):431-441 - PubMed
  6. J Am Coll Cardiol. 2017 Nov 28;70(21):2605-2617 - PubMed
  7. Eur Heart J. 2019 Jan 7;40(2):87-165 - PubMed
  8. Eur Heart J. 2016 Sep 21;37(36):2768-2801 - PubMed
  9. Catheter Cardiovasc Interv. 2014 Mar 1;83(4):509-18 - PubMed

Publication Types