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. 2022 Nov:253:48-52.
doi: 10.1016/j.ahj.2022.07.004. Epub 2022 Jul 19.

Antiplatelet regimens following carotid artery revascularization

Megan Lee  1 , Zain V Ahmed  2 , Jiaming Huang  2 , Aaron Brice  2 , Ahmad Arham  2 , Yulanka Castro-Dominguez  2 , Edouard Aboian  3 , Sameer Nagpal  2 , Kim G Smolderen  4 , Carlos Mena-Hurtado  5
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Antiplatelet regimens following carotid artery revascularization

Megan Lee et al. Am Heart J. 2022 Nov.

Abstract

Dual antiplatelet therapy (DAPT) is indicated following carotid artery stenting (CAS) and single antiplatelet therapy (SAPT) following carotid endarterectomy (CEA), but it remains unknown how providers adhere to these guidelines in real-world clinical practice. Using the Vascular Quality Initiative New England data, we found that of 12,257 patients, 82% patients were discharged on DAPT following CAS and 66% were discharged on SAPT following CEA. While a high percentage of patients undergoing CAS appropriately receive DAPT, the use of SAPT following CEA exists with more variability and lower adherence rates.

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Conflict of interest statement

Conflict of Interest Dr. Mena-Hurtado is a consultant for Cook Medical, Medtronic, Abbott, Cardinal Health, and Optum Labs. Dr. Smolderen reports grant funding from Abbott, Gore, Johnson&Johnson, Cardiva, and Merck, and she is a consultant for Optum Labs and Abbott. All other authors have reported that they have no relationships relevant to the contents of this paper to disclose.

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