Antiplatelet and anticoagulation therapy during percutaneous coronary interventions: A review for the interventionalist

J Interv Cardiol. 2018 Oct;31(5):693-704. doi: 10.1111/joic.12529. Epub 2018 Jun 19.

Abstract

Pharmacotherapy for percutaneous coronary interventions is essential to optimize the balance between thrombosis and bleeding. Currently, choices abound for the selection of antiplatelet and anticoagulation therapies during percutaneous intervention (PCI). This review article discusses the mechanisms, pharmacokinetics/dynamics, and clinical data behind the various pharmacotherapies including; aspirin, thienopyridines, glycoprotein IIb/IIIa inhibitors, vorapaxar, heparin, direct thrombin inhibitors, and factor Xa inhibitors.

Keywords: anticoagulation; antiplatelet; percutaneous coronary intervention.

Publication types

  • Review

MeSH terms

  • Anticoagulants / pharmacology*
  • Hemorrhage / prevention & control*
  • Humans
  • Intraoperative Care / methods
  • Percutaneous Coronary Intervention* / adverse effects
  • Percutaneous Coronary Intervention* / methods
  • Platelet Aggregation Inhibitors / pharmacology*
  • Thrombosis / prevention & control*

Substances

  • Anticoagulants
  • Platelet Aggregation Inhibitors