Ischemic and bleeding risk after percutaneous coronary intervention in patients with prior ischemic and hemorrhagic stroke
Journal of the American Heart Association Nov 20, 2019
Natsuaki M, Morimoto T, Watanabe H, et al. - Researchers determined the impact of prior hemorrhagic (n = 285) or ischemic stroke (n = 1,773) vs no-prior stroke (n = 17,417) on ischemic and bleeding outcomes post-percutaneous coronary intervention (PCI), using a pooled cohort including 19,475 patients from 3 Japanese PCI studies. They noted that in the prior hemorrhagic and ischemic stroke groups vs in the no-prior stroke group, there were higher cumulative 3-year incidences of the co-primary bleeding endpoints of intracranial hemorrhage, non-intracranial global utilization of streptokinase and tissue plasminogen activator for occluded coronary arteries moderate/severe bleeding, and the primary ischemic endpoint of ischemic stroke/myocardial infarction. Findings revealed a higher risk for intracranial hemorrhage and ischemic events, but not for non-intracranial bleeding post-PCI in patients with prior hemorrhagic or ischemic stroke vs those with no-prior stroke.
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