Antithrombotic therapy in patients with atrial fibrillation undergoing coronary stenting: a North American perspective: executive summary.

Journal Article (Journal Article)

The optimal regimen of the anticoagulant and antiplatelet therapies in patients with atrial fibrillation who have had a coronary stent is unclear. It is well recognized that "triple therapy" with aspirin, clopidogrel, and warfarin is associated with an increased risk of bleeding. National guidelines have not made specific recommendations, given the lack of adequate data. In choosing the best antithrombotic options for a patient, consideration needs to be given to the risks of stroke, stent thrombosis, and major bleeding. This executive summary describes these risks, provides specific recommendations concerning vascular access, stent choice, concomitant use of proton pump inhibitors, and the use and duration of triple therapy after stent placement, based on the risk assessment.

Full Text

Duke Authors

Cited Authors

  • Faxon, DP; Eikelboom, JW; Berger, PB; Holmes, DR; Bhatt, DL; Moliterno, DJ; Becker, RC; Angiolillo, DJ

Published Date

  • October 1, 2011

Published In

Volume / Issue

  • 4 / 5

Start / End Page

  • 522 - 534

PubMed ID

  • 22010191

Pubmed Central ID

  • 22010191

Electronic International Standard Serial Number (EISSN)

  • 1941-7632

Digital Object Identifier (DOI)

  • 10.1161/CIRCINTERVENTIONS.111.965186

Language

  • eng

Conference Location

  • United States