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ACC/AHA/SCAI 2005 Guideline Update for Percutaneous Coronary Intervention - Summary article: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (ACC/AHA/SCAI Writing Committee to Update the 2001 Guidelines for Percutaneous Coronary Intervention)

American College of Cardiology Foundation, 9111 Old Georgetown Road, Bethesda, MD 20814-1699, USA.
Circulation (Impact Factor: 14.95). 02/2006; 113(1):156-75. DOI: 10.1161/CIRCULATIONAHA.105.170815
Source: PubMed
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    • "For these reasons, in the setting of LT candidates, perhaps bare metal stents are the ideal, as dual antiplatelet therapy should be administered for a shorter period of time than with drug-eluting stents. Normally, although a minimum of 1 month of dual antiplatelet therapy is recommended for bare stents, only 2 weeks of clopidogrel can be given if there is a significant increase in the risk of bleeding [74]. Finally, surgical revascularization has a very high morbidity and mortality in patients with cirrhosis [76] [77] [78] [79] [80], although some successful cases have been reported [81]. "
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    • "Dual antiplatelet therapy is required for a longer period after the implantation of drug-eluting stents. The ACC/AHA/SCAI guidelines recommend that dual antiplatelet therapy be continued for 1 year after implantation of drugeluting stents in patients who are not at high risk for bleeding (and, at minimum, 3 months for sirolimus-eluting stents, and 6 months for paclitaxel-eluting stents) [28]. In studies examining stent thrombosis, the most powerfu predictor of this often-catastrophic event is the discontinuation of antiplatelet therapy. "
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