Antiplatelet regimens following carotid artery revascularization

Megan Lee; Zain V Ahmed; Jiaming Huang; Aaron Brice; Ahmad Arham; Yulanka Castro-Dominguez; Edouard Aboian; Sameer Nagpal; Kim G Smolderen; Carlos Mena-Hurtado

doi:10.1016/j.ahj.2022.07.004

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Antiplatelet regimens following carotid artery revascularization

Journal article

Peer reviewed

Antiplatelet regimens following carotid artery revascularization

Megan Lee, Zain V Ahmed, Jiaming Huang, Aaron Brice, Ahmad Arham, Yulanka Castro-Dominguez, Edouard Aboian, Sameer Nagpal, Kim G Smolderen and Carlos Mena-Hurtado

The American heart journal, Vol.253, pp.48-52

11/2022

DOI: 10.1016/j.ahj.2022.07.004

PMID: 35863439

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Abstract

Dual antiplatelet therapy (DAPT) is indicated following carotid artery stenting (CAS) and single antiplatelet therapy (SAPT) following carotid endarterectomy (CEA), but it remains unknown how providers adhere to these guidelines in real-world clinical practice. Using the Vascular Quality Initiative New England data, we found that of 12,257 patients, 82% patients were discharged on DAPT following CAS and 66% were discharged on SAPT following CEA. While a high percentage of patients undergoing CAS appropriately receive DAPT, the use of SAPT following CEA exists with more variability and lower adherence rates.

Carotid Arteries

Carotid Stenosis - surgery

Endarterectomy, Carotid

Humans

Platelet Aggregation Inhibitors - therapeutic use

Retrospective Studies

Risk Factors

Stents

Stroke - drug therapy

Treatment Outcome

Details

Title: Subtitle: Antiplatelet regimens following carotid artery revascularization
Creators: Megan Lee - Yale New Haven Health System
Zain V Ahmed - Yale New Haven Health System
Jiaming Huang - Yale New Haven Health System
Aaron Brice - Yale New Haven Health System
Ahmad Arham - Yale New Haven Health System
Yulanka Castro-Dominguez - Yale New Haven Health System
Edouard Aboian - Yale New Haven Health System
Sameer Nagpal - Yale New Haven Health System
Kim G Smolderen - Yale New Haven Health System
Carlos Mena-Hurtado - Yale New Haven Health System
Resource Type: Journal article
Publication Details: The American heart journal, Vol.253, pp.48-52
DOI: 10.1016/j.ahj.2022.07.004
PMID: 35863439
ISSN: 0002-8703
eISSN: 1097-6744
Language: English
Date published: 11/2022
Academic Unit: Internal Medicine
Record Identifier: 9985157628702771

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