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Reducing the cost of managing patients with atrial fibrillation undergoing percutaneous coronary intervention with stenting

Author

Listed:
  • Roxana Mehran

    (Mount Sinai Medical Center - MSSM - Icahn School of Medicine at Mount Sinai [New York], Cardiovascular Research Foundation - Cardiovascular Research Foundation)

  • Birgit Vogel

    (Mount Sinai Medical Center - MSSM - Icahn School of Medicine at Mount Sinai [New York])

  • Pierre Lévy

    (Legos - Laboratoire d'Economie et de Gestion des Organisations de Santé - Université Paris Dauphine-PSL - PSL - Université Paris Sciences et Lettres, LEDa - Laboratoire d'Economie de Dauphine - IRD - Institut de Recherche pour le Développement - Université Paris Dauphine-PSL - PSL - Université Paris Sciences et Lettres - CNRS - Centre National de la Recherche Scientifique)

Abstract

Patients undergoing percutaneous coronary intervention (PCI) have an increased risk of both ischemic events and bleeding complications resulting from antithrombotic therapy. These events are particularly common in patients with a concomitant indication for oral anticoagulation, such as those with atrial fibrillation, and are associated with a substantial healthcare resource burden. Advances in procedural aspects of PCI have led to marked improvements in outcomes and a consequent reduction in the costs resulting from PCI-associated complications. Furthermore, recent randomized clinical trials have investigated the optimal antithrombotic strategy in the specific case of patients with atrial fibrillation undergoing PCI, leading to a shift toward the tailoring of antithrombotic therapy according to the patient's individual stroke and bleeding risks. Here we review these recent advances, with a particular focus on the improvements in antithrombotic strategies offered by the non-vitamin K antagonist oral anticoagulants

Suggested Citation

  • Roxana Mehran & Birgit Vogel & Pierre Lévy, 2021. "Reducing the cost of managing patients with atrial fibrillation undergoing percutaneous coronary intervention with stenting," Post-Print hal-03120565, HAL.
    • Handle: RePEc:hal:journl:hal-03120565
    DOI: 10.1016/j.jjcc.2020.07.018
    as

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