The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

Editorials

Stent selection in patients on oral anticoagulants: can we prevent restenosis and avoid bleeding?

EuroIntervention 2009;5:405-407.

INSERM U-698, Université Paris 7, AP-HP, Paris, France
Drug eluting stents (DES) have offered a convincing answer to the problem of in-stent restenosis1,2. However, the risk of stent thrombosis associated with those devices3 has led to the recommendation of prolonged dual antiplatelet therapy4,5. An increasing number of patients under oral anticoagulants are treated with stents and have therefore a potential indication for triple antithrombotic therapy. This may, in turn, increase the risk of major bleeding which is associated with worse short- and long-term clinical outcomes6. The optimal trade-offs in terms of prevention of thrombosis and bleeding in this setting remain unclear.

In this issue of EuroIntervention, Hä...

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