三血管支架血栓形成与氯吡格雷抵抗相关，替格瑞洛治疗成功。
Successful Therapy With Ticagrelor in Three-Vessel Stent Thrombosis Related to Clopidogrel Resistance.
机构信息
Regional Cardiocerebrovascular Center, Wonkwang University Hospital, Iksan, Korea.
Regional Cardiocerebrovascular Center, Wonkwang University Hospital, Iksan, Korea.
出版信息
Can J Cardiol. 2021 Aug;37(8):1278-1280. doi: 10.1016/j.cjca.2021.03.017. Epub 2021 Mar 26.
A 65-year-old man developed 3-vessel stent thrombosis after percutaneous coronary intervention with aspirin and clopidogrel. Platelet tests revealed clopidogrel resistance, which resolved after changing clopidogrel to ticagrelor. Although routine platelet tests after stenting are not recommended, these tests may be considered to identify the cause of stent thrombosis and modify antiplatelet therapy.
一位 65 岁男性在接受阿司匹林和氯吡格雷经皮冠状动脉介入治疗后发生了 3 支血管支架血栓形成。血小板检测显示氯吡格雷抵抗，改用替格瑞洛后得到缓解。虽然不建议常规进行支架置入术后的血小板检测，但这些检测可能有助于确定支架血栓形成的原因，并调整抗血小板治疗。
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