Coronary revascularization in a patient with immune thrombocytopenic purpura.
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.
Fong
Man-Cai
MC
Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taiwan, ROC.
Chen
Kuan-Chun
KC
Leu
Hsin-Bang
HB
Chen
Lung-Ching
LC
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
D010975:Platelet Aggregation Inhibitors