| Literature DB >> 27338862 |
Jad Raffoul1, Ammar Nasir1, Andrew J P Klein2,3.
Abstract
OPINION STATEMENT: In ST-segment elevation myocardial infarction (STEMI), interventional cardiologists must move quickly to safely re-establish blood flow while choosing an antithrombotic to preclude wire thrombosis, aid in the restoration of flow, minimize thrombus propagation, and reduce the risk of stent thrombosis. Currently, operators have a choice between heparin and bivalirudin with the possible addition of glycoprotein IIb/IIIa inhibitors (GPIs). Prior studies have shown that bivalirudin use lowers rates of bleeding, but with a clear risk of acute stent thrombosis. Recent studies have examined this question in the modern era of radial access and newer antiplatelet agents. Despite these studies, there remains a question regarding which antithrombotic agent is to be selected in STEMI.Entities:
Keywords: Acute stent thrombosis; Coronary artery disease; STEMI; Treatment
Year: 2016 PMID: 27338862 DOI: 10.1007/s11936-016-0473-7
Source DB: PubMed Journal: Curr Treat Options Cardiovasc Med ISSN: 1092-8464