Prolonged use of eptifibatide as a bridge to maintain drug-eluting stent patency in a patient receiving extracorporeal membrane oxygenation.
Payal K GurnaniAllison BohlmannRobert J MarchPublished in: Perfusion (2018)
While eptifibatide was effective in maintaining stent patency, our patient experienced several bleeding episodes during ECMO. Thus, the risks and benefits of concurrent antiplatelet and anticoagulant therapy must be appropriately weighed in this patient population. Additionally, as the need for dual antiplatelet therapy due to coronary stent implantation is increasing, further studies are needed to validate optimal dosing of eptifibatide in patients at a high risk of bleeding during ECMO.
Keyphrases
- extracorporeal membrane oxygenation
- acute respiratory distress syndrome
- antiplatelet therapy
- case report
- respiratory failure
- atrial fibrillation
- acute coronary syndrome
- percutaneous coronary intervention
- coronary artery disease
- squamous cell carcinoma
- venous thromboembolism
- heart failure
- stem cells
- bone marrow
- left ventricular
- risk assessment
- locally advanced
- aortic stenosis