Review

Nature Clinical Practice Cardiovascular Medicine (2006) 3, 673-680
doi:10.1038/ncpcardio0712  
Received 24 March 2006 | Accepted 1 September 2006

Drug Insight: antithrombotic therapy after percutaneous coronary intervention in patients with an indication for anticoagulation

Gérard Helft*, Martine Gilard, Claude Le Feuvre and Azfar G Zaman

Correspondence *Institut de Cardiologie, Groupe Hospitalier Pitié-Salpêtrière, Boulevard de l'Hôpital, 75013 Paris, France

Email
 gerard.helft@psl.aphp.fr

The current treatment for patients receiving coronary stents is dual antiplatelet therapy. Approximately 5% of these patients, however, require long-term anticoagulation because of an underlying chronic medical therapy and, theoretically, should receive triple therapy, which increases bleeding risk. Here, Helft et al. critically appraise the available literature concerning antithrombotic therapy and make recommendations for antiplatelet therapy following revascularization in the small subset of patients already receiving anticoagulation.

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