11. Antithrombotic therapies

Ticagrelor vs clopidogrel to reduce periprocedural myocardial necrosis

ALPHEUS
Objective
to examine if ticagrelor was superior to clopidogrel to reduce periprocedural myocardial necrosis during PCI
Study
phase 3b, open-label multicentre randomised trial
Population
patients with stable CAD at high-risk undergoing elective PCI
Endpoints
PCI related myocardial infarction (type 4A or 4B) or major myocardial injury within 48 h of the procedure
Conclusion
ticagrelor was not superior to clopidogrel in reducing periprocedural myocardial necrosis after elective PCI
Silvain et al. Lancet. 2020;396:1737-44
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