Article Text

Download PDFPDF
Clopidogrel induced urticarial rash in a patient with left main stem percutaneous coronary intervention: management issues
  1. S K Khambekar,
  2. J Kovac,
  3. A H Gershlick
  1. Department of Cardiology, Glenfield Hospital, University Hospital of Leicester, Leicester, UK
  1. Correspondence to:
    Dr S K Khambekar
    Department of Cardiology, Glenfield Hospital, University Hospital of Leicester, Leicester LE3 9QP, UK; skk17hotmail.com

Abstract

Clopidogrel, an ideal treatment for prevention of subacute stent thrombosis, may not be feasible to use in every patient. Ticlopidine (plus aspirin) is a very good alternative, although the risks of life threatening neutropenia should mandate regular monitoring of blood counts. It is proposed that patients undergoing angioplasty and stenting should carry a warning card in an effort to make the public and general practitioners aware that antiplatelet treatment after angioplasty plays an important part in ensuring successful outcome.

  • antithrombotic regimen
  • clopidogrel allergy
  • left main stem angioplasty
  • ticlopidine
  • ATLAST, antiplatelet therapy alone versus lovenox plus antiplatelet therapy in patients at increased risk of stent thrombosis
  • CLASSICS, clopidogrel aspirin stent international cooperative study
  • ENTICES, enoxaparin and ticlopidine after elective stenting
  • FANTASTIC, full anticoagulation versus aspirin and ticlopidine trial
  • MATTIS, multicenter aspirin and ticlopidine trial after intracoronary stenting
  • STARS, stent antithrombotic regimen study

Statistics from Altmetric.com

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.