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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Radcliffe Medical Media
2021
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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) |
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Diseases of the circulatory (Cardiovascular) system RC666-701 |
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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 |
_version_ |
1718372664664391680 |