title: Coronary revascularization in a patient with immune thrombocytopenic purpura.
abstract: 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.
authors.affiliation: Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taiwan, ROC.
authors.forename: Man-Cai
authors.initials: MC
authors.lastname: Fong
authors.forename: Kuan-Chun
authors.initials: KC
authors.lastname: Chen
authors.forename: Hsin-Bang
authors.initials: HB
authors.lastname: Leu
authors.forename: Lung-Ching
authors.initials: LC
authors.lastname: Chen
mesh_terms: D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D000075202:Contraindications; D003327:Coronary Disease / Q000628:therapy*; D005260:Female; D006801:Humans; D010975:Platelet Aggregation Inhibitors; D016553:Purpura, Thrombocytopenic, Idiopathic / Q000150:complications*; D015607:Stents
chemical_list: D010975:Platelet Aggregation Inhibitors