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Successful Primary Percutaneous Coronary Intervention without Stenting: Insight from Optimal Coherence Tomography

Roh JW, Kim Y, Lee OH, Im E, Cho DK, Choi D

For patients with acute myocardial infarction, current management guidelines recommend implantation of a drug-eluting stent, dual antiplatelet therapy (including potent P2Y 12 inhibitors) for at least 1 year, and maintenance...
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Outcomes of Endoscopic Ultrasound-Guided Biliary Drainage in Patients Undergoing Antithrombotic Therapy

Okuno N, Hara K, Mizuno N, Haba S, Kuwahara T, Koda H, Tajika M, Tanaka T, Onishi S, Yamada K, Miyano A, Fumihara D, Elshair M

Background/Aims: The Japan Gastroenterological Endoscopy Society (JGES) has published guidelines for gastroenterological endoscopy in patients undergoing antithrombotic treatment. These guidelines classify endoscopic ultrasound-guided biliary drainage (EUS-BD) as a high-risk procedure....
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Clinical Practice Guideline for the Management of Antithrombotic Agents in Patients Undergoing Gastrointestinal Endoscopy

Lim H, Gong EJ, Min BH, Kang SJ, Shin CM, Byeon JS, Choi M, Park CG, Cho JY, Lee ST, Kim HG, Chun HJ

Antithrombotic agents, including antiplatelet agents and anticoagulants, are increasingly used in South Korea. The management of patients using antithrombotic agents and requiring gastrointestinal endoscopy is an important clinical challenge. Although...
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Clinical Practice Guideline for the Management of Antithrombotic Agents in Patients Undergoing Gastrointestinal Endoscopy

Lim H, Gong EJ, Min BH, Kang SJ, Shin CM, Byeon JS, Choi M, Park CG, Cho JY, Lee ST, Kim HG, Chun HJ

Antithrombotic agents, including antiplatelet agents and anticoagulants, are increasingly used in South Korea. The management of patients using antithrombotic agents and requiring gastrointestinal endoscopy is an important clinical challenge. Although...
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Clopidogrel versus Aspirin after Dual Antiplatelet Therapy in Acute Myocardial Infarction Patients Undergoing Drug-Eluting Stenting

Sim DS, Jeong MH, Kim HS, Gwon HC, Seung KB, Rha SW, Chae SC, Kim CJ, Cha KS, Park JS, Yoon JH, Chae JK, Joo SJ, Choi DJ, Hur SH, Seong IW, Cho MC, Kim DI, Oh SK, Ahn TH, Hwang JY, on behalf of the KAMIR-NIH registry investigators

BACKGROUND AND OBJECTIVES: There is a paucity of data regarding the benefit of clopidogrel monotherapy after dual antiplatelet therapy (DAPT) in patients treated with drug-eluting stents (DES). This study compared...
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Bleeding after Taking Dual Antiplatelets and NSAID Concurrently

Seo J, Choi J, Son P, Lee S, Chae H, Kang G, Ji E

When stenting is applied to treat myocardial infarction, antiplatelet agents are administered to prevent thrombosis, which increases the risk of bleeding. Patients with myocardial infarction are also more likely to...
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ST-Segment Elevation Myocardial Infarction as a Result of Coronary Artery Ectasia-Related Intracoronary Thrombus in a Patient with Liver Cirrhosis

Roh JW, Park EH, Song JC, Oh YS, Kim TY, Kim HS, Lim S

Coronary artery ectasia (CAE) is a rare condition defined as the dilatation of coronary artery to at least 1.5 times larger than the normal adjacent coronary artery. Clinical manifestations of...
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Risk Factors for Dieulafoy Lesions in the Upper Gastrointestinal Tract

Shin HJ, Ju JS, Kim KD, Kim SW, Kang SH, Kang SH, Moon HS, Sung JK, Jeong HY

BACKGROUND/AIMS: The purpose of this study is to verify the risk factors associated with Dieulafoy lesion formation in the upper gastrointestinal tract. METHODS: A case-control study was performed by reviewing the...
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Retroperitoneal Hematoma due to Spontaneous Rupture of Lumbar Artery in Patients Taking Anticoagulant and/or Antiplatelet: A Retrospective Analysis

Choi K, Kwak J

  • KMID: 2333841
  • J Korean Soc Emerg Med.
  • 2014 Jun;25(3):307-311.
PURPOSE: The main purpose of this study was to achieve a broad perspective of the clinical problem with regard to its overall presentation and relation to anticoagulant and antiplatelet therapy,...
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A Single Institution's Experience of Infundibulotomy in Patients Taking Antiplatelet Agents: Outcomes, Safety and Complications

Baek DH, Song GA, Kim DU, Kim GH, Lee BE, Jeon HK, Jhi JH, Bae JH, Lee HJ

BACKGROUND/AIMS: The diagnostic and therapeutic utility of endoscopic retrograde cholangiopancreatography (ERCP) has been well demonstrated for biliary and pancreatic diseases. Biliary access can be allowed by infundibulotomy if failed by...
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Genotype- and Phenotype-Directed Personalization of Antiplatelet Treatment in Patients with Non-ST Elevation Acute Coronary Syndromes Undergoing Coronary Stenting

Ahn SG, Yoon J, Kim J, Uh Y, Kim KM, Lee JH, Lee JW, Youn YJ, Ahn MS, Kim JY, Yoo BS, Lee SH, Tahk SJ, Choe KH

BACKGROUND AND OBJECTIVES: We evaluated the effectiveness of genotype- and phenotype-directed individualization of P2Y12 inhibitors to decrease high on-treatment platelet reactivity (HOPR). SUBJECTS AND METHODS: Sixty-five patients undergoing percutaneous coronary intervention...
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Recurrent Stent Thrombosis in Different Coronary Arteries

Cho SY, Shin KH, Shin HS, Lee SJ, Lee JE, Jung KY, Kang TS

  • KMID: 2082465
  • Korean J Med.
  • 2013 Apr;84(4):567-571.
Drug-eluting stents (DES) dramatically reduce the rate of restenosis and the need for repeat revascularization. Despite these promising results, stent thrombosis seems to occur more frequently with DES and often...
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Spontaneous Spinal Epidural Hematoma in a Patient on Cilostazol

Baek SH, Lee HS, Kang JH, Shin J, Lee H, Kim I, Yang SJ, Kim JS, Shin DI, Lee SH, Lee SS

  • KMID: 2288706
  • Korean J Stroke.
  • 2012 Dec;14(3):170-172.
Cilostazol is a phosphodiesterase inhibitor that has been shown to have similar efficacy in stroke prevention but fewer hemorrhagic events compared with aspirin. We report a case of spontaneous spinal...
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Recent Changes in Risk Factors of Chronic Subdural Hematoma

Sim YW, Min KS, Lee MS, Kim YG, Kim DH

  • KMID: 2339942
  • J Korean Neurosurg Soc.
  • 2012 Sep;52(3):234-239.
OBJECTIVE: Chronic subdural hematoma (CSDH) is a typical disease that is encountered frequently in neurosurgical practice. The medications which could cause coagulopathies were known as one of the risk factors...
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Percutaneous Nephrolithotomy in Patients on Chronic Anticoagulant/Antiplatelet Therapy

Nerli RB, Reddy MN, Devaraju S, Hiremath M

Percutaneous nephrolithotomy (PCNL) is an integral component in the management of large volume renal stone disease either as monotherapy or in combination with shock wave lithotripsy. Stone disease in patients...
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Bleeding Volume after Surgery for Trochanteric Fractures of the Femur in Patients Treated with Antiplatelet Agents: Comparison according to Surgical Timing

Jang SA, Cho YH, Byun YS, Kim TG, Cho HS, Choi S

PURPOSE: We evaluated the bleeding volume after surgery for trochanteric fractures of the femur in patients treated with antiplatelet agents according to surgical timing. MATERIALS AND METHODS: We selected 20 patients...
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Effects of Combined Antiplatelets on Bleeding in Off-Pump Coronary-Artery Bypass Surgery

Lee SK, Kim TJ, Seok SY, Jung SH, Yang KH, Choi KJ, Kim YB

  • KMID: 2320053
  • Yeungnam Univ J Med.
  • 2011 Dec;28(2):124-132.
BACKGROUND: Antiplatelet agent administration is critical in managing coronary-artery disease, but there is a concern regarding operation-related bleeding and an increase in blood transfusion in such, especially when delivering combined...
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Little Impact of Antiplatelet Agents on Venous Thromboembolism after Hip Fracture Surgery

Ji HM, Lee YK, Ha YC, Kim KC, Koo KH

Since the late 1980s, low dose aspirin has been used to prevent stroke and ischemic heart disease. However, prophylactic effect of antiplatelets against venous thromboembolism (VTE), in patients who undergo...
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Spontaneous Intramural Hematoma of the Sigmoid Colon Caused by Anti-platelet Agents

Kim GI, Kim YS, Yang JK, Koo HS, Kim SM, Lee TH, Im EH, Huh KC

  • KMID: 1442200
  • Korean J Gastrointest Endosc.
  • 2011 Jun;42(6):397-400.
A 71-year-old man presented at the emergency department with an acute onset of hematochezia and abdominal pain that had developed 1 day previously. He had no history of surgery and...
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Updates in the management of patients with acute coronary syndrome

Woo JS, Kim MK

  • KMID: 2257259
  • Korean J Med.
  • 2009 Jun;76(6):661-676.
Acute coronary syndrome (ACS) represents a broad spectrum of ischemic myocardial events, including unstable angina, non-ST elevation myocardial infarction, and acute ST elevation myocardial infarction, which are associated with high...
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