Coronary artery stenting in a patient with factor XI deficiency

Factor XI deficiency is a rare coagulopathy which has a higher risk of bleeding following trauma or an operation. Stable coronary artery disease patients complicated by factor XI deficiency draw extraordinary caution when coronary artery stents are needed, for interventional cardiologists must balance the need for antithrombosis and bleeding complications. Currently, there is no guideline for the management of such patients. Here, we describe a patient with coronary artery disease with factor XI deficiency who underwent an uneventful percutaneous coronary intervention.