Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
May 29, 2026Thrombosis and Haemostasis

Bleeding and Thrombotic Trade-off in Dual-Risk Patients Undergoing Percutaneous Coronary Intervention

View Full Paper
Ask AI
Bookmark
Share

Key result

Provided text contains only editorial board information and no clinical study data.

Why the study?

Managing thrombotic and bleeding risks post-PCI is challenging in patients with both high bleeding risk and high thrombotic risk, requiring better risk characterization to support personalized DAPT management.

Does the ARC trade-off model predict net adverse clinical events in dual-risk patients undergoing percutaneous coronary intervention?

Population

3,051 PCI patients screened, identifying a 12.4% dual-risk subset

Comparison

ARC trade-off model groups DRBR<TR vs DRBR=TR vs DRBR>TR

Design

Cohort study

Follow-up

18 months

Authors

MMMaria Sara MauroInterventional / Structural CardiologySFSimone FinocchiaroInterventional CardiologyDario CalderoneDario CalderoneInterventional / Structural Cardiology

Discussion

Loading...

Member takes

Implication

DRBR>TR stratification was associated with higher NACE after PCI; leaves open whether the ARC trade-off model should guide personalized DAPT.

Structured PICO

Does the ARC trade-off model predict net adverse clinical events in dual-risk patients undergoing percutaneous coronary intervention?

P
Population
3,051 patients who underwent percutaneous coronary intervention (PCI) between November 2019 and December 2023, including a 12.4% subset identified as dual-risk (high bleeding risk by ARC-HBR criteria and high thrombotic risk by ESC criteria).
I
Intervention
Stratification by the Academic Research Consortium (ARC) trade-off model into DRBR>TR (risk of death from bleeding higher than thrombosis) or DRBR<TR (risk of death from bleeding lower than thrombosis) groups.
C
Comparator
DRBR=TR group (risk of death from bleeding similar to thrombosis).
O
Outcome
Net adverse clinical events (NACE), defined as a composite of all-cause death, myocardial infarction (MI), stent thrombosis (ST), or major bleeding at 18 months.composite

The ARC trade-off model successfully stratifies dual-risk PCI patients, identifying those at highest risk for adverse events who may benefit from personalized dual antiplatelet therapy strategies.

Cite This Study

Mauro et al. (2026) studied Dual-Risk Patients Undergoing Percutaneous Coronary Intervention. The provided text contains only the journal's editorial board information and no clinical study data.

synapsesocial.com/papers/6a1b975b39ea7417dc430384https://doi.org/10.1055/a-2862-6563

Topics

Dual antiplatelet therapyPercutaneous coronary interventionChronic total occlusion PCI
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Eligibility to Intensified Antithrombotic Regimens for Secondary Prevention in Patients Who Underwent Percutaneous Coronary Intervention2023 · 21 citations
  2. 2Validation of the Academic Research Consortium High Bleeding Risk Definition in Contemporary PCI Patients2020 · 225 citations
  3. 3Standardized End Point Definitions for Coronary Intervention Trials2018 · 329 citations
  4. 4Mortality after bleeding versus myocardial infarction in coronary artery disease: a systematic review and meta-analysis2021 · 93 citations
  5. 52017 ESC focused update on dual antiplatelet therapy in coronary artery disease developed in collaboration with EACTS2017 · 3,027 citations