Platelet Function Testing and Genotyping for Tailoring Treatment in Complex PCI Patients

Dual antiplatelet therapy (DAPT), comprising aspirin and a P2Y12 receptor inhibitor, is considered the cornerstone of treatment in patients who have undergone percutaneous coronary intervention (PCI). Patients with complex PCI (C-PCI) constitute a special PCI subpopulation, characterized by increase...

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Autores principales: Athanasios Moulias, Angeliki Papageorgiou, Dimitrios Alexopoulos
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Lenguaje:EN
Publicado: Radcliffe Medical Media 2021
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Acceso en línea:https://doaj.org/article/2fd8f0f78aa043a8bcd54b6fd753ba85
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spelling oai:doaj.org-article:2fd8f0f78aa043a8bcd54b6fd753ba852021-12-04T16:04:52ZPlatelet Function Testing and Genotyping for Tailoring Treatment in Complex PCI Patients10.15420/usc.2020.331758-390X1758-3896https://doaj.org/article/2fd8f0f78aa043a8bcd54b6fd753ba852021-08-01T00:00:00Zhttps://www.uscjournal.com/articleindex/usc.2020.33https://doaj.org/toc/1758-3896https://doaj.org/toc/1758-390XDual antiplatelet therapy (DAPT), comprising aspirin and a P2Y12 receptor inhibitor, is considered the cornerstone of treatment in patients who have undergone percutaneous coronary intervention (PCI). Patients with complex PCI (C-PCI) constitute a special PCI subpopulation, characterized by increased ischemic risk. Identifying the optimal DAPT strategy is often challenging and remains controversial in this setting. In an attempt to balance ischemic and bleeding risks in C-PCI patients receiving DAPT, treatment individualization regarding potency and duration has evolved as a feasible approach. Platelet function testing and genotyping have been evaluated in several trials with conflicting and mostly neutral results. The aim of this review is to critically appreciate the role of these tools for antiplatelet treatment tailoring specifically in C-PCI patients. Because existing evidence is limited, dedicated future studies are warranted to elucidate the utility of platelet function testing and genotyping in C-PCI.Athanasios MouliasAngeliki PapageorgiouDimitrios AlexopoulosRadcliffe Medical MediaarticleDiseases of the circulatory (Cardiovascular) systemRC666-701ENUS Cardiology Review , Vol 15, Iss , Pp - (2021)
institution DOAJ
collection DOAJ
language EN
topic Diseases of the circulatory (Cardiovascular) system
RC666-701
spellingShingle Diseases of the circulatory (Cardiovascular) system
RC666-701
Athanasios Moulias
Angeliki Papageorgiou
Dimitrios Alexopoulos
Platelet Function Testing and Genotyping for Tailoring Treatment in Complex PCI Patients
description Dual antiplatelet therapy (DAPT), comprising aspirin and a P2Y12 receptor inhibitor, is considered the cornerstone of treatment in patients who have undergone percutaneous coronary intervention (PCI). Patients with complex PCI (C-PCI) constitute a special PCI subpopulation, characterized by increased ischemic risk. Identifying the optimal DAPT strategy is often challenging and remains controversial in this setting. In an attempt to balance ischemic and bleeding risks in C-PCI patients receiving DAPT, treatment individualization regarding potency and duration has evolved as a feasible approach. Platelet function testing and genotyping have been evaluated in several trials with conflicting and mostly neutral results. The aim of this review is to critically appreciate the role of these tools for antiplatelet treatment tailoring specifically in C-PCI patients. Because existing evidence is limited, dedicated future studies are warranted to elucidate the utility of platelet function testing and genotyping in C-PCI.
format article
author Athanasios Moulias
Angeliki Papageorgiou
Dimitrios Alexopoulos
author_facet Athanasios Moulias
Angeliki Papageorgiou
Dimitrios Alexopoulos
author_sort Athanasios Moulias
title Platelet Function Testing and Genotyping for Tailoring Treatment in Complex PCI Patients
title_short Platelet Function Testing and Genotyping for Tailoring Treatment in Complex PCI Patients
title_full Platelet Function Testing and Genotyping for Tailoring Treatment in Complex PCI Patients
title_fullStr Platelet Function Testing and Genotyping for Tailoring Treatment in Complex PCI Patients
title_full_unstemmed Platelet Function Testing and Genotyping for Tailoring Treatment in Complex PCI Patients
title_sort platelet function testing and genotyping for tailoring treatment in complex pci patients
publisher Radcliffe Medical Media
publishDate 2021
url https://doaj.org/article/2fd8f0f78aa043a8bcd54b6fd753ba85
work_keys_str_mv AT athanasiosmoulias plateletfunctiontestingandgenotypingfortailoringtreatmentincomplexpcipatients
AT angelikipapageorgiou plateletfunctiontestingandgenotypingfortailoringtreatmentincomplexpcipatients
AT dimitriosalexopoulos plateletfunctiontestingandgenotypingfortailoringtreatmentincomplexpcipatients
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