Aspirin Desensitization/Challenge in 3 Patients With Unstable Angina

Aspirin sensitivity is relatively frequent and can be a major problem in patients who need percutaneous coronary intervention and stenting with subsequent dual antiplatelet therapy. Desensitization is often the therapy in these patients, but this can prolong the time to revascularization significant...

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Veröffentlicht in:The American journal of the medical sciences 2010-11, Vol.340 (5), p.418-420
Hauptverfasser: Ortega-Loayza, Alex G., Raza, Syed, Minisi, Anthony J., Topaz, On, Jovin, Ion S., Heller, Andrew
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container_issue 5
container_start_page 418
container_title The American journal of the medical sciences
container_volume 340
creator Ortega-Loayza, Alex G.
Raza, Syed
Minisi, Anthony J.
Topaz, On
Jovin, Ion S.
Heller, Andrew
description Aspirin sensitivity is relatively frequent and can be a major problem in patients who need percutaneous coronary intervention and stenting with subsequent dual antiplatelet therapy. Desensitization is often the therapy in these patients, but this can prolong the time to revascularization significantly. Rapid oral aspirin desensitization protocols have been described since 2000. However, data are lacking on the optimal strategy for aspirin desensitization and determining which patients are mostly benefited from this desensitization. The authors describe the use of a Wong-modified protocol in 3 patients who had known aspirin sensitivity and who had unstable angina and an indication for percutaneous coronary intervention.
doi_str_mv 10.1097/MAJ.0b013e3181eecfc7
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subjects Acute coronary syndrome
Angina, Unstable - drug therapy
Aspirin - immunology
Aspirin - therapeutic use
Aspirin allergy
Biological and medical sciences
Cardiology. Vascular system
Coronary heart disease
Desensitization
Desensitization, Immunologic
General aspects
Heart
Humans
Male
Medical sciences
Middle Aged
Platelet Aggregation Inhibitors - immunology
Platelet Aggregation Inhibitors - therapeutic use
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Stent
title Aspirin Desensitization/Challenge in 3 Patients With Unstable Angina
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