Thrombelastography-guided Antiplatelet Therapy Strategy in a Patient with Cerebral Hemorrhage after Percutaneous Coronary Intervention
ZHAO Yu-ying
LIU Xiang
RU Lei-sheng
Abstract：Objective To study application of thrombelastography (TEG)-guided antiplatelet therapy strategy in a patient with cerebral hemorrhage following percutaneous coronary intervention (PCI).Methods Clinical data of 1 patient with cerebral hemorrhage receiving TEG-guided antiplatelet therapy after PCI were retrospectively analyzed.Results The patient,a 76-year-old male,was admitted to hospital for episodic chest distress and chest pain for 2 hours.On the basis of diagnosis of acute anterior myocardial infarction,he received PCI in emergency.He was discharged from hospital at 6 days postoperatively using dual anti-platelet therapy.He complained of headache,blurred vision and unsteady gait 3d after discharge.Cold medicine taken by himself did not relieve the symptoms,and he had lethargy,nausea,and vomiting at night.An emergency head CT scan showed cerebral hemorrhage (at right temporal-occipital-parietal junction).Cerebral hemorrhage might contradict with dual anti-platelet therapy after PCI,therefore,dehydration,reducing intracranial pressure and nutritional nerves were initiated,coupled with TEG-guided antiplatelet therapy.He was discharged from hospital at 21 days after active treatment.At 4-month follow-up,he reported a stable condition.Conclusion TEG can be used to guide individualized antiplatelet therapy in patient with cerebral hemorrhage after PCI.
Keywords：ThrombelastographyAngioplastyballooncoronaryMyocardial infarctionCerebral hemorrhage
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 66-68 )