11. Antithrombotic therapies

Anticoagulation after primary PCI

RIGHT
Objective
to test whether postprocedural anticoagulation (PPA) was superior to no PPA after primary PCI for STEMI
Study
investigator-initiated multicentre (China) placebo-controlled randomised trial
Population
patients undergoing primary PCI receiving low dose PPA (iv UFH, iv bivalirudin or subcutaneous enoxaparin) for at least 48 hours
Endpoints
composite of all-cause death, MI, stroke, stent thrombosis (definite) or urgent revascularisation within 30 days
Conclusion
anticoagulation after primary PCI for STEMI did not reduce 30-day ischaemic events
Yan et al.; Circulation 2024;149:1258-1267
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