Coronary Arterioscleroses, Platelet Dysfunction Due to Drugs
Conditions
Brief summary
The purpose of this study is to determine the efficacy and safety of a routine individualized antiplatelet therapy after coronary stent implantation by evaluating on-treatment platelet reactivity with Multiple Electrode Aggregometry (MEA, Multiplate® Analyzer). IDEAL-PCI Extended is the continuation of the IDEAL-PCI registry with additional focus on bleeding events and net clinical benefit
Detailed description
Determination of platelet reactivity in patients with percutaneous coronary Intervention as described in the IDEAL-PCI registry. In the IDEAL-PCI Extended Registry an additional deescalation arm with reduction of the standard dual antiplatelet therapy (DAPT) dosis in case of low platelet reactivity to P2Y12 Inhibition or Aspirin with or without bleeding is implemented.
Interventions
Reduction of standard dose DAPT due to low platelet reactivity
Standard DAPT within the therapeutic window of platelet reactivity
Intensification of standard dose DAPT due to high platelet reactivity
Sponsors
Study design
Eligibility
Inclusion criteria
* all consecutive PCI patients
Exclusion criteria
* pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| stent thrombosis | 1 year | stent thrombosis by any Academic Research Consortium (ARC) definition |
| bleeding | 1 year | bleeding type 1-3 and 5 by Bleeding Academic Research Consortium (BARC) definition |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Major adverse cardiac and cerebrovascular Events (MACCE) | 1 year | death, cardiovascular death, myocardial infarction, stroke, ischemia driven revascularization |
Countries
Austria