De-escalation of antiplatelet therapy in acute coronary syndromes: why, how and when?

M Galli, DJ Angiolillo - Frontiers in cardiovascular medicine, 2022 - frontiersin.org
The synergistic blockade of the key platelet signaling pathways of cyclooxygenase-1
blockade and P2Y12 signaling by combining aspirin plus a potent P2Y12 inhibitor …

Personalised antiplatelet therapies for coronary artery disease: what the future holds

D Capodanno, DJ Angiolillo - European Heart Journal, 2023 - academic.oup.com
Coronary artery disease (CAD) is one of the leading causes of death globally, and
antiplatelet therapy is crucial for both its prevention and treatment. Antiplatelet drugs such as …

Comparative effects of different antiplatelet strategies in carriers of CYP2C19 loss-of-function alleles: a network meta-analysis

M Galli, G Occhipinti, S Benenati… - European Heart …, 2024 - academic.oup.com
Background Carriers of cytochrome 2C19 (CYP2C19) loss-of-function (LoF) alleles treated
with clopidogrel have impaired drug metabolism, resulting in reduced active metabolite …

Antithrombotic therapy in high bleeding risk, part I: percutaneous cardiac interventions

M Galli, F Gragnano, M Berteotti, R Marcucci… - Cardiovascular …, 2024 - jacc.org
Antithrombotic therapy after cardiac percutaneous interventions is key for the prevention of
thrombotic events but is inevitably associated with increased bleeding, proportional to the …

[HTML][HTML] De-escalation of antiplatelet therapy in patients with coronary artery disease: time to change our strategy?

P Sabouret, L Spadafora, D Fischman, W Ullah… - European Journal of …, 2023 - Elsevier
Dual antiplatelet therapy (DAPT) is the gold standard after acute coronary syndromes (ACS)
or chronic coronary syndromes (CCS) undergoing percutaneous coronary intervention …

International Consensus Statement on Platelet Function and Genetic Testing in Percutaneous Coronary Intervention: 2024 Update

DJ Angiolillo, M Galli, D Alexopoulos, D Aradi… - Cardiovascular …, 2024 - jacc.org
Current evidence indicates that dual antiplatelet therapy with aspirin plus a P2Y12 inhibitor
is essential for the prevention of thrombotic events after percutaneous coronary …

P2Y12 Inhibition in Patients Requiring OraláAnticoagulation After PercutaneousáCoronary Intervention: The SWAP-AC–2 Study

L Ortega-Paz, W Bor, F Franchi… - JACC: Cardiovascular …, 2024 - Elsevier
Background Among patients treated with a novel oral anticoagulant (NOAC) undergoing
percutaneous coronary intervention (PCI), combination therapy with clopidogrel (ie, known …

Impact of ethnicity on antiplatelet treatment regimens for bleeding reduction in acute coronary syndromes: a systematic review and pre-specified subgroup meta …

M Galli, R Laborante, G Occhipinti, A Zito… - European Heart …, 2024 - academic.oup.com
Abstract Aims Randomized controlled trials (RCTs) testing bleeding reduction strategies
using antiplatelet treatment regimens (BRATs) in acute coronary syndromes (ACS) have …

Comparison between ticagrelor and clopidogrel in myocardial infarction patients with high bleeding risk

J Tjerkaski, T Jernberg, J Alfredsson… - European Heart …, 2023 - academic.oup.com
Aims Ticagrelor is associated with a lower risk of ischemic events than clopidogrel.
However, it is uncertain whether the benefits of more intensive anti-ischemic therapy …

Bleeding in acute coronary syndrome: from definitions, incidence, and prognosis to prevention and management

C Laudani, D Capodanno… - Expert Opinion on Drug …, 2023 - Taylor & Francis
Introduction In patients with acute coronary syndrome (ACS), the ischemic benefit of
antithrombotic treatment is counterbalanced by the risk of bleeding. The recognition that …