How to Manage a Patient with Haemophilia and ACS Requiring PCI: A Battle between Bleeding and Thrombosis.
Konstantinos C TheodoropoulosSofia VakalopoulouMaria OikonomouGeorge StavropoulosAntonios ZiakasIoannis KanonidisGeorge KassimisPublished in: Medicina (Kaunas, Lithuania) (2021)
We present the case of a 70-year-old man with a history of haemophilia B, who presented to our hospital with a non-ST-elevation myocardial infarction. The patient, following consultation by a haemophilia expert, was revascularized with percutaneous coronary intervention (PCI) under adequate clotting factor administration. Patients with haemophilia and acute coronary syndrome, are susceptible to periprocedural bleeding and thrombotic events during PCI, and therefore a balanced management plan should always be implemented by a multidisciplinary team.
Keyphrases
- percutaneous coronary intervention
- acute coronary syndrome
- st elevation myocardial infarction
- st segment elevation myocardial infarction
- antiplatelet therapy
- acute myocardial infarction
- coronary artery bypass grafting
- atrial fibrillation
- coronary artery disease
- case report
- palliative care
- coronary artery bypass
- pulmonary embolism
- heart failure
- healthcare
- quality improvement
- emergency department
- left ventricular