PCI术后说低分子肝素应用画龙点睛or画蛇添足.pptVIP

ACC/AHA PCI 2007 If clopidogrel is given at the time of procedure, supplementation with GP IIb/IIIa receptor antagonists can be beneficial (IIa-B) 中国PCI指南 2009 择期PCI的高危患者或高危病变，可应用GPIIb/IIIa 受体拮抗剂 (Ⅱa-B) ESC PCI 2007 行PCI高危患者，给予血小板糖蛋白IIb/IIIa 受体拮抗剂（I-A） GP IIb/IIIa受体拮抗剂必须与抗凝剂合用 （ I-A ） GPIIb/IIIa受体拮抗剂在PCI中应用 GPIIb/IIIa受体拮抗剂联合抗凝剂LMWH UFH A to Z trial First randomized trial of LMWH + GP IIb/IIIa in high-risk ACS patients randomized to enoxaparin (1 mg/kg every 12 hours) or UFH 60% went to Cath Lab Conclusions Conclusion Enoxaparin improves outcomes (both bleeding and eff