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Clopidogrel, sold under the brand name Plavix among others, is an antiplatelet medication used to reduce the risk of heart disease and stroke in those at high risk. [10] It is also used together with aspirin in heart attacks and following the placement of a coronary artery stent (dual antiplatelet therapy). [10]
Maxillofacial Surgery: Procedure to lift depressed fractured zygoma via temporal approach Gundersen flap: Trygve Gundersen: Ophthalmology: Procedure to replace a damaged section of cornea with part of the conjunctiva: Hadfield's procedure: Geoffrey John Hadfield: Oncologic Surgery, Breast surgery
Glycoprotein IIb/IIIa inhibitors are frequently used during percutaneous coronary intervention (angioplasty with or without intracoronary stent placement). They work by preventing platelet aggregation and thrombus formation. They do so by inhibition of the GpIIb/IIIa receptor on the surface of the platelets.
Balloon angioplasty in the preoperative period——patients can proceed to surgery two weeks after the procedure. Bare metal stents required at least one month of DAPT; CABG: Patients may proceed with surgery as soon as they are healed from the coronary artery bypass procedure and they do not need any specific amount of time on DAPT
While the use of intracoronary stents do not improve the short term outcomes in primary PCI, the use of stents is widespread because of the decreased rates of procedures to treat restenosis compared to balloon angioplasty. [30] Adjuvant therapy during an angioplasty includes intravenous heparin, aspirin, and clopidogrel.
Diagram of stent placement. In A, the catheter is inserted across the lesion. In B, the balloon is inflated, expanding the stent and compressing the plaque. In C, the catheter and deflated balloon have been removed. Before-and-after cross sections of the artery show the results of the stent placement. Arterial Stenting 3D Medical Animation
The patient is generally monitored using ECG etc. Medications to prevent a blood clots from forming generally and in the stent are given directly after the stenting procedure, commonly in the form of an immediate loading dose of the potent anticoagulant (blood thinner) Plavix administered as a tablet. Other anticoagulant medicines are also used ...
Abciximab is indicated for use in individuals undergoing percutaneous coronary intervention (angioplasty with or without stent placement). The use of abciximab in this setting is associated with a decreased incidence of ischemic complications due to the procedure [5] and a decreased need for repeated coronary artery revascularization in the first month following the procedure.