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Antithrombotic regimens for percutaneous coronary intervention of the left main coronary artery: The EXCEL trial.

Sorin J BrenerNicholas J LemboDavid E KandzariManel SabatéAnthony H GershlickAdrian P BanningPaweł E BuszmanIoanna KosmidouCharles A SimontonMarie-Claude MoriceOri Ben-YehudaOvidiu DresslerZixuan ZhangJoseph F SabikArie Pieter KappeteinPatrick W SerruysGregg W Stone
Published in: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (2020)
Among patients undergoing LMCA PCI in the EXCEL trial, procedural use of bivalirudin was associated with greater rates of periprocedural MI and the 30-day composite endpoint without reducing bleeding complications. Five-year outcomes were similar. GPIs were used infrequently and were not associated with clinical outcomes.
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