In the name of Allah the Merciful

Atrial Fibrillation and Percutaneous Coronary Intervention: A Case-based Guide to Oral Anticoagulation, Antiplatelet Therapy and Stenting

Andrea Rubboli, Gregory Y. H. Lip, B01MTW2O10, 3319423983, 3319825712, 9783319825717, 9783319423982, 9783319424002, 978-3319825717, 978-3319423982, 978-3319424002, 978-3-319-42398-2, 978-3-319-42400-2

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This  book considers paradigmatic clinical cases in order to cast light on  key issues relating to elective or emergency stent implantation and the  use of oral anticoagulation (OAC) in patients with atrial fibrillation.  The topics addressed include the optimal periprocedural antithrombotic  treatment (uninterrupted vs interrupted OAC, intraprocedural use of  heparin and glycoprotein IIb/IIIa inhibitors, etc.), the most  appropriate type of stent (bare metal vs drug eluting vs “bioactive”),  the optimal regimen (e.g., triple therapy of OAC, aspirin, and  clopidogrel vs the combination of OAC and a single antiplatelet agent),  and the most suitable duration of the antithrombotic treatment  prescribed at discharge (1 vs 6–12 months).

The  case-based management recommendations will be of wide practical value in  the current health care context, where percutaneous coronary  intervention is available even to patients with relevant co-morbidities,  such as those warranting long-term OAC, and the indications for OAC are  much broader than in the past. The book will appeal especially to  clinical and interventional cardiologists, internal medicine  specialists, hematologists, and family physicians and will also be of  interest to cardiology and internal medicine residents and fellows.