CPC Clinical Research, Aurora, CO, USA; Division of Cardiology, Department of Medicine, University of Colorado School of Medicine, Aurora, CO, USA.
CPC Clinical Research, Aurora, CO, USA; Division of Cardiology, Department of Medicine, University of Colorado School of Medicine, Aurora, CO, USA. Electronic address: https://twitter.com/cpcresearch.
Interv Cardiol Clin. 2024 Oct;13(4):553-559. doi: 10.1016/j.iccl.2024.07.003. Epub 2024 Aug 1.
Patients with peripheral artery disease (PAD) who undergo lower extremity revascularization (LER) are at high risk for cardiovascular and limb-related ischemic events. The role of antithrombotic therapy is to prevent thrombotic complications, but this requires balancing increased risk of bleeding events. The dual pathway inhibition (DPI) strategy including aspirin and low-dose rivaroxaban after LER has been shown to reduce major adverse cardiovascular and limb-related events without significant differences in major bleeding. There is now a need to implement the broad adoption of DPI therapy in PAD patients who have undergone LER in routine practice.
下肢血运重建术后外周动脉疾病(PAD)患者发生心血管和肢体相关缺血事件的风险较高。抗栓治疗的作用是预防血栓并发症,但这需要平衡出血事件风险增加。研究表明,下肢血运重建术后应用阿司匹林和小剂量利伐沙班的双联抗血小板(DPI)策略可降低主要不良心血管和肢体相关事件风险,而大出血风险无显著差异。目前需要在常规实践中,在外周动脉疾病患者下肢血运重建术后广泛应用 DPI 治疗。