Reducing the cost of managing patients with atrial fibrillation undergoing percutaneous coronary intervention with stenting

Roxana Mehran, Birgit Vogel, Pierre Levy

Research output: Contribution to journalArticlepeer-review

Abstract

Patients undergoing percutaneous coronary intervention (PCI) have an increased risk of both ischemic events and bleeding complications resulting from antithrombotic therapy. These events are particularly common in patients with a concomitant indication for oral anticoagulation, such as those with atrial fibrillation, and are associated with a substantial healthcare resource burden. Advances in procedural aspects of PCI have led to marked improvements in outcomes and a consequent reduction in the costs resulting from PCI-associated complications. Furthermore, recent randomized clinical trials have investigated the optimal antithrombotic strategy in the specific case of patients with atrial fibrillation undergoing PCI, leading to a shift toward the tailoring of antithrombotic therapy according to the patient's individual stroke and bleeding risks. Here we review these recent advances, with a particular focus on the improvements in antithrombotic strategies offered by the non-vitamin K antagonist oral anticoagulants.

Original languageEnglish
Pages (from-to)93-99
Number of pages7
JournalJournal of Cardiology
Volume77
Issue number1
DOIs
StatePublished - Jan 2021

Keywords

  • Atrial fibrillation
  • Bleeding complications
  • Cost
  • Percutaneous coronary intervention
  • Thrombosis

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