title: Coronary artery stenting in a patient with chronic immune thrombocytopenic purpura: a clinical conundrum.
abstract: A patient with long-standing immune thrombocytopenic purpura (ITP) would logically contradict antiplatelet use due to increased bleeding risk during coronary stenting. Coronary stenting using an endothelial progenitor cells (EPC) capture stents (Genous™) was used to successfully revascularise our patient using a transradial approach. The only complication was extensive superficial ecchymosis on the patient's forearm from antiplatelet use, which resolved spontaneously. To the best of our knowledge, this is the first case report of EPC capture stents in a chronic ITP patient.
authors.affiliation: School of Clinical Medicine, University of Cambridge, Cambridge, UK. charleen.chan@gmail.com
authors.forename: Charleen Min Li
authors.initials: CM
authors.lastname: Chan Wah Hak
authors.forename: Yew Oo
authors.initials: YO
authors.lastname: Tan
authors.forename: Charles
authors.initials: C
authors.lastname: Chan
mesh_terms: D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects / Q000379:methods*; D002908:Chronic Disease; D000075202:Contraindications; D003324:Coronary Artery Disease / Q000150:complications / Q000601:surgery*; D003331:Coronary Vessels / Q000601:surgery*; D004438:Ecchymosis / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010975:Platelet Aggregation Inhibitors / Q000009:adverse effects*; D011183:Postoperative Complications / Q000209:etiology; D016553:Purpura, Thrombocytopenic, Idiopathic / Q000150:complications*; D015607:Stents
chemical_list: D010975:Platelet Aggregation Inhibitors