Geographical Variations in the Effectiveness and Safety of Abbreviated or Standard Antiplatelet Therapy After Percutaneous Coronary Intervention in Patients at High Bleeding Risk

被引:0
作者
Ozaki, Yukio [1 ]
Hong, Sung-Jin [2 ]
Heg, Dik [3 ]
Frigoli, Enrico [4 ]
Vranckx, Pascal [5 ,6 ]
Morice, Marie-Claude [7 ,8 ]
Chevalier, Bernard [7 ]
Onuma, Yoshinobu [9 ]
Windecker, Stephan [10 ]
Di Biasi, Maurizio [11 ]
Whitbourn, Robert [12 ]
Dudek, Dariusz [13 ,14 ]
Raffel, Owen Christopher [15 ,16 ]
Shimizu, Kiyokazu [17 ]
Calabro, Paolo [18 ,19 ]
Frobert, Ole [20 ]
Cura, Fernando [21 ]
Ten Berg, Jurrien [22 ,23 ]
Smits, Pieter C. [24 ]
Valgimigli, Marco [4 ,25 ]
机构
[1] Fujita Hlth Univ, Sch Med, Dept Cardiol, Toyoake, Aichi, Japan
[2] Yonsei Univ, Severance Cardiovasc Hosp, Coll Med, Seoul, South Korea
[3] Univ Bern, Clin Trial Unit, Bern, Switzerland
[4] Ente Osped Cantonale, Cardioctr Ticino Inst, Lugano, Switzerland
[5] Jessa Ziekenhuis, Dept Cardiol & Crit Care Med, Hasselt, Belgium
[6] Univ Hasselt, Fac Med & Life Sci, Hasselt, Belgium
[7] Ramsay Sante, Inst Cardiovasc Paris Sud, Massy, France
[8] Cardiovasc European Res Ctr, Massy, France
[9] Univ Galway, Galway Univ Hosp, Galway, Ireland
[10] Univ Bern, Bern Univ Hosp, Dept Cardiol, Inselspital, Bern, Switzerland
[11] Osped L Sacco, Intervent Cardiol Unit, Milan, Italy
[12] St Vincents Hosp Melbourne, Fitzroy, Vic, Australia
[13] Jagiellonian Univ Med Coll, Inst Cardiol, Krakow, Poland
[14] Maria Cecilia Hosp, Intervent Cardiol Unit GVM Care & Res, Cotignola, Italy
[15] Prince Charles Hosp, Cardiol Dept, Brisbane, Qld, Australia
[16] Univ Queensland, Fac Med, Brisbane, Qld, Australia
[17] Ichinomiya Municipal Hosp, Dept Cardiol, Ichinomiya, Japan
[18] Univ Campania Luigi Vanvitelli, Dept Translat Med Sci, Caserta, Italy
[19] Azienda Osped Rilievo Nazl St Anna & San Sebastian, Caserta, Italy
[20] Orebro Univ, Fac Hlth, Dept Cardiol, Sodra Grev Rosengatan, Orebro, Sweden
[21] Inst Cardiovasc Buenos Aires, Buenos Aires, Argentina
[22] St Antonius Hosp, Dept Cardiol, Nieuwegein, Netherlands
[23] Univ Med Ctr Maastricht, Dept Cardiol, Maastricht, Netherlands
[24] Maasstad Hosp, Dept Cardiol, Rotterdam, Netherlands
[25] Univ Italian Switzerland, Dept Biomed Sci, Lugano, Switzerland
关键词
D O I
10.1016/j.cjca.2024.01.032
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In high bleeding risk (HBR) patients, noninferiority of 1month dual antiplatelet therapy (APT) to treatment continuation for double dagger 2 additional months for the occurrence of net and major adverse clinical events after drug-eluting stent implantation was shown in the Management of High Bleeding Risk Patients Post Bioresorbable Polymer Coated Ste nt Implantation With an Abbreviated Versus Prolonged DAPT Regimen (MASTER DAPT) trial.1 1 A significant fi cant reduction in bleeding was also noted. However, whether these treatment effects of APT are consistent across geographical regions remains uncertain. In the present analyses, the effects of abbreviated or standard APT on the 1-year occurrence of net and major adverse clinical events and bleeding were consistent across geographical regions (Europe, East Asia, and others). [Clinical Trial Registration: https://www.clinicaltrials.gov. Unique identifier: fi er: NCT03023020].
引用
收藏
页码:1671 / 1674
页数:4
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  • [1] Racial Differences in Ischaemia/Bleeding Risk Trade-Off during Anti-Platelet Therapy: Individual Patient Level Landmark Meta-Analysis from Seven RCTs
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    Park, Kyung Woo
    Palmerini, Tullio
    Stone, Gregg W.
    Lee, Michael S.
    Colombo, Antonio
    Chieffo, Alaide
    Feres, Fausto
    Abizaid, Alexandre
    Bhatt, Deepak L.
    Valgimigli, Marco
    Hong, Myeong-Ki
    Jang, Yangsoo
    Gilard, Martine
    Morice, Marie-Claude
    Park, Duk-Woo
    Park, Seung-Jung
    Jeong, Young-Hoon
    Park, Jiesuck
    Koo, Bon-Kwon
    Kim, Hyo-Soo
    [J]. THROMBOSIS AND HAEMOSTASIS, 2019, 119 (01) : 149 - 162
  • [2] Global geographical variation in patient characteristics in percutaneous coronary intervention clinical trials: A systematic review and meta-analysis
    Liu, Eden
    Hsueh, Leon
    Kim, Hajwa
    Vidovich, Mladen I.
    [J]. AMERICAN HEART JOURNAL, 2018, 195 : 39 - 49
  • [3] The Evolution of Antiplatelet Therapy After Percutaneous Coronary Interventions: A 40-Year Journey
    Marquis-Gravel, Guillaume
    Robert-Halabi, Maxime
    Bainey, Kevin R.
    Tanguay, Jean-Francois
    Mehta, Shamir R.
    [J]. CANADIAN JOURNAL OF CARDIOLOGY, 2022, 38 (10) : S79 - S88
  • [4] Racial and ethnic differences in pharmacotherapy to prevent coronary artery disease and thrombotic events
    Tamargo, Juan
    Kaski, Juan Carlos
    Kimura, Takeshi
    Barton, Jack Charles
    Yamamoto, Ko
    Komiyama, Maki
    Drexel, Heinz
    Lewis, Basil S.
    Agewall, Stefan
    Hasegawa, Koji
    [J]. EUROPEAN HEART JOURNAL-CARDIOVASCULAR PHARMACOTHERAPY, 2022, 8 (07) : 738 - 751
  • [5] Dual Antiplatelet Therapy after PCI in Patients at High Bleeding Risk
    Valgimigli, Marco
    Frigoli, Enrico
    Heg, Dik
    Tijssen, Jan
    Juni, Peter
    Vranckx, Pascal
    Ozaki, Yukio
    Morice, Marie-Claude
    Chevalier, Bernard
    Onuma, Yoshinobu
    Windecker, Stephan
    Tonino, Pim A. L.
    Roffi, Marco
    Lesiak, Maciej
    Mahfoud, Felix
    Bartunek, Jozef
    Hildick-Smith, David
    Colombo, Antonio
    Stankovic, Goran
    Iniguez, Andres
    Schultz, Carl
    Kornowski, Ran
    Ong, Paul J. L.
    Alasnag, Mirvat
    Rodriguez, Alfredo E.
    Moschovitis, Aris
    Laanmets, Peep
    Donahue, Michael
    Leonardi, Sergio
    Smits, Pieter C.
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2021, 385 (18) : 1643 - 1655