open access

Vol 11, No 5 (2016)
Case report
Published online: 2016-09-08
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The usefulness of optical coherence tomography in a patient on antiplatelet therapy and requiring surgery

Piotr Kübler, Andrzej Szczepański, Wojciech Kosowski, Michał Kosowski, Wojciech Zimoch, Krzysztof Reczuch
DOI: 10.5603/FC.2016.0095
·
Folia Cardiologica 2016;11(5):440-442.

open access

Vol 11, No 5 (2016)
Case Reports
Published online: 2016-09-08

Abstract

Establishing a balance between the risk of stent thrombosis and the risk of perioperative bleeding in patients treated
with dual antiplatelet therapy remains a major therapeutic challenge. We report a case of 60-year-old man after stent implantation in left main coronary artery and requiring urgent operative treatment. The result of optical coherence tomography helped us to decide about further proceeding and is an example of a very helpful application of this new imaging technique in everyday practice.

Abstract

Establishing a balance between the risk of stent thrombosis and the risk of perioperative bleeding in patients treated
with dual antiplatelet therapy remains a major therapeutic challenge. We report a case of 60-year-old man after stent implantation in left main coronary artery and requiring urgent operative treatment. The result of optical coherence tomography helped us to decide about further proceeding and is an example of a very helpful application of this new imaging technique in everyday practice.

Get Citation

Keywords

antiplatelet therapy, perioperative treatment, percutaneous coronary interventio

About this article
Title

The usefulness of optical coherence tomography in a patient on antiplatelet therapy and requiring surgery

Journal

Folia Cardiologica

Issue

Vol 11, No 5 (2016)

Article type

Case report

Pages

440-442

Published online

2016-09-08

DOI

10.5603/FC.2016.0095

Bibliographic record

Folia Cardiologica 2016;11(5):440-442.

Keywords

antiplatelet therapy
perioperative treatment
percutaneous coronary interventio

Authors

Piotr Kübler
Andrzej Szczepański
Wojciech Kosowski
Michał Kosowski
Wojciech Zimoch
Krzysztof Reczuch

References (5)
  1. Rajwa P, Rempega G, Suliga K, et al. Postępowanie okołooperacyjne u pacjentów z wszczepionymi stentami typu DES. Folia Cardiologica. 2015; 10(5): 336–341.
  2. Park SJ, Kang SMo, Park DW. Dual antiplatelet therapy after drug-eluting stents: defining the proper duration. Coron Artery Dis. 2014; 25(1): 83–89.
  3. Rossini R, Bramucci E, Castiglioni B, et al. Società Italiana di Cardiologia Invasiva (GISE), Associazione Nazionale Medici Cardiologi Ospedalieri (ANMCO). [Coronary stenting and surgery: perioperative management of antiplatelet therapy in patients undergoing surgery after coronary stent implantation]. G Ital Cardiol (Rome). 2012; 13(7-8): 528–551.
  4. Roleder T, Jąkała J, Kałuża GL, et al. The basics of intravascular optical coherence tomography. Postepy Kardiol Interwencyjnej. 2015; 11(2): 74–83.
  5. Finn AV, Joner M, Nakazawa G, et al. Pathological correlates of late drug-eluting stent thrombosis: strut coverage as a marker of endothelialization. Circulation. 2007; 115(18): 2435–2441.

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