Single Versus Dual Antiplatelet Therapy following Left Atrial Appendage Occlusion in Patients With High Bleeding Risk.


Journal

Current problems in cardiology
ISSN: 1535-6280
Titre abrégé: Curr Probl Cardiol
Pays: Netherlands
ID NLM: 7701802

Informations de publication

Date de publication:
Sep 2022
Historique:
received: 10 05 2022
accepted: 23 05 2022
pubmed: 2 6 2022
medline: 10 8 2022
entrez: 1 6 2022
Statut: ppublish

Résumé

Our study aims to compare the utility of single antiplatelet therapy (SAPT) with dual antiplatelet therapy (DAPT) following Left atrial appendage occlusion in patients whose post-procedural oral anticoagulation therapy was deemed high-risk or contraindicated. A total of 14 observational studies with 3,151 patients were included. Our study demonstrates that SAPT and DAPT were similar in preventing device-related thrombosis. Although SAPT and DAPT had a tendency toward a higher risk for stroke and major bleeding respectively, these differences did not reach statistical significance. Large-scale Randomized Controlled Studies are warranted to validate if our results could be translated into clinical practice.

Identifiants

pubmed: 35644502
pii: S0146-2806(22)00166-9
doi: 10.1016/j.cpcardiol.2022.101269
pii:
doi:

Substances chimiques

Anticoagulants 0
Platelet Aggregation Inhibitors 0

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

101269

Informations de copyright

Copyright © 2022 Elsevier Inc. All rights reserved.

Auteurs

Mohammed Mhanna (M)

Department of Internal Medicine, University of Toledo, Toledo, OH. Electronic address: Mohammed.Mhanna@utoledo.edu.

Azizullah Beran (A)

Department of Internal Medicine, University of Toledo, Toledo, OH.

Ahmad Al-Abdouh (A)

Department of Internal Medicine, University of Kentucky, Lexington, KY.

Ahmad Jabri (A)

Department of Cardiology, Case Western Reserve University/MetroHealth Medical Center, Cleveland, OH.

Ahmad Al-Aaraj (A)

Department of Cardiology, James Cook University Hospital, Middlesbrough, England.

Omar Sajdeya (O)

Department of Internal Medicine, University of Toledo, Toledo, OH.

Ziad Abuhelwa (Z)

Department of Internal Medicine, University of Toledo, Toledo, OH.

Waleed Khokher (W)

Department of Internal Medicine, University of Toledo, Toledo, OH.

Sapan Bhuta (S)

Department of Internal Medicine, University of Toledo, Toledo, OH.

Cameron J Burmeister (CJ)

Department of Internal Medicine, University of Toledo, Toledo, OH.

Ehab A Eltahawy (EA)

Department of Cardiovascular Medicine, University of Toledo, Toledo, OH.

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Classifications MeSH