Editorial

The unsolved issue with limited evidence: antiplatelet therapy during the chronic maintenance period after percutaneous coronary intervention

EuroIntervention 2022;18:e355-e356. DOI: 10.4244/EIJ-E-22-00019

Hyo-Soo Kim
Hyo-Soo Kim1, MD, PhD; Jeehoon Kang1, MD
1. Cardiovascular Center, Seoul National University Hospital, Seoul, Republic of Korea
Over the past 20 years, interventional cardiologists have tried to give an answer to a very simple question, “What is the optimal antiplatelet regimen after percutaneous coronary intervention (PCI)?” More than 40 randomised clinical trials have been performed, but we still do not have a concrete conclusion. Currently, an individualised risk stratification and personalised medicine seem to be the answer. There has been a paradigm shift (or expansion) in the way that antiplatelet agents are prescribed in clinical practice. In the past, the targets of antiplatelet agents were local factors (stent-related), therefore finding a strategy that reduced PCI-related ischaemic events ...

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