Dual antiplatelet therapy following percutaneous coronary intervention: a review of the clinical impact of treatment duration

Wells GA, Elliott J, Kelly S, So D, Boucher M, Bai Z, Liu W, Skidmore B
Record ID 32018002207
English
Authors' objectives: Dual antiplatelet therapy (DAPT), the combination of a P2Y12 inhibitor (clopidogrel, prasugrel, or ticagrelor) with acetylsalicylic acid (ASA), is routinely given following percutaneous coronary intervention (PCI) with stenting. This therapy aims to prevent stent thrombosis and other major cardiovascular adverse events associated with PCI. The choice of DAPT duration remains uncertain, although new evidence on the effect of longer treatment duration has recently become available. Selecting the treatment duration is an important decision in order to balance the benefits and harms of DAPT following PCI. This project aims to summarize the evidence currently available on the comparative clinical effect of using shorter (6 to 12 months) versus longer (12 to 30 months) DAPT following PCI. Results from this project will inform reimbursement policies as well as clinical decisions on the use of P2Y12 inhibitors in patients who recently underwent a PCI.
Details
Project Status: Completed
Year Published: 2017
English language abstract: An English language summary is available
Publication Type: Rapid Review
Country: Canada
Pubmed ID: 30299644
MeSH Terms
  • Percutaneous Coronary Intervention
  • Platelet Aggregation Inhibitors
  • Duration of Therapy
  • Dual Anti-Platelet Therapy
  • Drug-Eluting Stents
  • Stents
Keywords
  • Dual antiplatelet therapy
  • Percutaneous coronary intervention
  • Stents
Contact
Organisation Name: Canadian Agency for Drugs and Technologies in Health
Contact Address: 600-865 Carling Avenue, Ottawa, ON K1S 5S8 Canada. Tel: +1 613 226 2553; Fax: +1 613 226 5392;
Contact Name: requests@cadth.ca
Contact Email: requests@cadth.ca
Copyright: <p>Canadian Agency for Drugs and Technologies in Health (CADTH)</p>
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