title: A Therapeutic Dilemma - Coronary Artery Stenting in the Setting of Thrombocytopaenia.
abstract: Coronary artery interventions in the setting of Immune Thrombocytopaenic Purpura (ITP) carry the twin risks of bleeding and thrombosis related to the mandatory dual anti-platelet therapy. This condition therefore may require a splenectomy prior to the coronary intervention. Surgical splenectomy in the presence of high-grade coronary stenosis carries greater morbidity and mortality. We report here a unique solution to this therapeutic dilemma, which was splenic artery embolisation followed by percutaneous coronary intervention (PCI).
authors.affiliation: Department of Cardiology, St. John's Medical College Hospital, Bangalore, India. Electronic address: drkiron@hotmail.com.
authors.forename: Kiron
authors.initials: K
authors.lastname: Varghese
authors.affiliation: Department of Cardiology, St. John's Medical College Hospital, Bangalore, India.
authors.forename: Michelle
authors.initials: M
authors.lastname: Viegas
authors.affiliation: Department of Cardiology, St. John's Medical College Hospital, Bangalore, India.
authors.forename: Srilakshmi M
authors.initials: SM
authors.lastname: Adhyapak
mesh_terms: D023921:Coronary Stenosis / Q000150:complications / Q000601:surgery*; D003331:Coronary Vessels / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D062645:Percutaneous Coronary Intervention; D016553:Purpura, Thrombocytopenic, Idiopathic / Q000150:complications / Q000601:surgery*; D015607:Stents
keywords: Embolisation.; Idiopathic Thrombocytopaenic Purpura; Percutaneous coronary interventions; Splenic artery