Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12188/16375
Title: Dual antiplatelet therapy duration after coronary stenting in clinical practice: results of an EAPCI survey
Authors: Valgimigli, Marco
Costa, Francesco
Byrne, Robert
Haude, Michael
Baumbach, Andreas
Windecker, Stephan
Vavlukis, Marija 
Boshev, Marijan
Keywords: Drug Administration Schedule
Drug Therapy
Combination
Evidence-Based Medicine
Surveys
Percutaneous Coronary Intervention
Platelet Aggregation Inhibitors
Treatment
Outcome
Issue Date: 1-May-2015
Publisher: EuroPCR
Source: Valgimigli M, Costa F, Byrne R, Haude M, Baumbach A, Windecker S, Aaroe J, Biasco L, De Backer O, Hansen PR, Kristensen SD. Dual antiplatelet therapy duration after coronary stenting in clinical practice: Results of an EAPCI survey. EuroIntervention. 2015;11(1):68-74.
Project: EAPCI survey
Journal: EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology
Abstract: Our aim was to report on a survey initiated by the European Association of Percutaneous Cardiovascular Interventions (EAPCI) concerning opinion on the evidence relating to dual antiplatelet therapy (DAPT) duration after coronary stenting.
Description: Aims: Our aim was to report on a survey initiated by the European Association of Percutaneous Cardiovascular Interventions (EAPCI) concerning opinion on the evidence relating to dual antiplatelet therapy (DAPT) duration after coronary stenting. Methods and results: Results from three randomised clinical trials were scheduled to be presented at the American Heart Association Scientific Sessions 2014 (AHA 2014). A web-based survey was distributed to all individuals registered in the EuroIntervention mailing list (n=15,200) both before and after AHA 2014. A total of 1,134 physicians responded to the first (i.e., before AHA 2014) and 542 to the second (i.e., after AHA 2014) survey. The majority of respondents interpreted trial results consistent with a substantial equipoise regarding the benefits and risks of an extended versus a standard DAPT strategy. Two respondents out of ten believed extended DAPT should be implemented in selected patients. After AHA 2014, 46.1% of participants expressed uncertainty about the available evidence on DAPT duration, and 40.0% the need for clinical guidance. Conclusions: This EAPCI survey highlights considerable uncertainty within the medical community with regard to the optimal duration of DAPT after coronary stenting in the light of recent reported trial results. Updated recommendations for practising physicians to guide treatment decisions in routine clinical practice should be provided by international societies. © Europa Digital & Publishing 2015. All rights reserved.
URI: http://hdl.handle.net/20.500.12188/16375
DOI: 10.4244/EIJV11I1A11
Appears in Collections:Faculty of Medicine: Journal Articles

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