Document Detail

Coronary revascularization in a patient with immune thrombocytopenic purpura.
MedLine Citation:
PMID:  17051755     Owner:  NLM     Status:  MEDLINE    
Immune thrombocytopenic purpura (ITP) is a bleeding disorder characterized by premature platelet destruction mediated by autoantibodies. We report a 71-year-old ITP patient with concomitant acute coronary syndrome. Cardiac catheterization was performed through the right radial artery and premedicated with immunoglobulin. Left anterior descending artery was stented, followed by clopidogrel treatment for 7 weeks without major bleeding complication. The patient has been observed for 2 years without clinical restenosis. We suggest that stent implantation is a safe treatment in this special condition. Treatment should be individualized, but it is still a challenge to balance bleeding and thrombosis complication.
Man-Cai Fong; Kuan-Chun Chen; Hsin-Bang Leu; Lung-Ching Chen
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of the Chinese Medical Association : JCMA     Volume:  69     ISSN:  1726-4901     ISO Abbreviation:  J Chin Med Assoc     Publication Date:  2006 Sep 
Date Detail:
Created Date:  2006-10-20     Completed Date:  2006-11-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101174817     Medline TA:  J Chin Med Assoc     Country:  China (Republic : 1949- )    
Other Details:
Languages:  eng     Pagination:  436-8     Citation Subset:  IM    
Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taiwan, ROC.
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MeSH Terms
Angioplasty, Transluminal, Percutaneous Coronary
Coronary Disease / therapy*
Platelet Aggregation Inhibitors / contraindications
Purpura, Thrombocytopenic, Idiopathic / complications*
Reg. No./Substance:
0/Platelet Aggregation Inhibitors

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