Safety and efficacy of P2Y12 inhibitor monotherapy in patients undergoing percutaneous coronary interventions

Felicita Andreotti, Filippo Crea, Davide Capodanno, Dominick J Angiolillo

Risultato della ricerca: Contributo in rivistaArticolo in rivista

Abstract

Introduction: Antiplatelet therapy represents a key strategy for the prevention of thrombotic complications in patients with both acute and chronic coronary syndromes, particularly those undergoing percutaneous coronary intervention (PCI). Nevertheless, dual antiplatelet therapy (DAPT) is associated with a bleeding risk proportionate to its duration. Ever growing appreciation of the prognostic implications associated with bleeding and the development of safer stent platforms over the past years have led to a number of novel antiplatelet treatment strategies being tested among patients undergoing PCI. Areas covered: P2Y12 inhibitor monotherapy after ashort course DAPT has emerged as ableeding reduction strategy to mitigate such risk while still preventing thrombotic complications. In this review we describe the latest evidence regarding the safety and efficacy of P2Y12 inhibitor monotherapy in patients undergoing PCI in different clinical settings. Expert opinion: P2Y12 inhibitor monotherapy after a brief period of DAPT has emerged as an effective approach to reduce the risk of bleeding without any tradeoff in efficacy (i.e., thrombotic complications). This strategy has shown consistent findings in a number of different clinical settings of patients undergoing PCI. Nevertheless, unanswered questions on the ideal patient and the precise P2Y12 monotherapy regimen warrant further investigation.
Lingua originaleEnglish
pagine (da-a)9-21
Numero di pagine13
RivistaExpert Opinion on Drug Safety
Volume20
DOI
Stato di pubblicazionePubblicato - 2021

Keywords

  • Antiplatelet therapy
  • aspirin
  • atrial fibrillation
  • bleeding
  • thrombosis
  • 12
  • inhibitors
  • percutaneous coronary intervention
  • P2y

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