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Antiplatelet Resistance Research in Patients With Peripheral Arterial Revascularization

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EstadoTerminado
Patrocinadores
Groupe Hospitalier Paris Saint Joseph

Palabras clave

Abstracto

In coronary pathology, persistent platelet hyperresponsiveness under antiplatelet therapy, which is often referred to as "antiplatelet resistance," is predictive of increased risk of thrombotic recurrence as well as hyper-Inhibition of this aggregation may be predictive of a hemorrhagic risk. But no study has shown that the adaptation of treatment based on platelet aggregation tests has a benefit: the management of antiplatelet treatments through the search for antiplatelet resistance (APR) is not recommended by the European Society of Cardiology (ESC) in the context of coronary angioplasty (IIIA), while this is a common practice in neurovascular pathology.

Descripción

In peripheral arterial disease, several studies have shown that the existence of an APR is predictive of the occurrence of thrombotic events but not all. The investigators can therefore ask the question of the benefit of adaptation of antiplatelet therapy by biological monitoring to prevent the recurrence of thrombotic events. The platelet aggregation tests used mainly concern aspirin, via stimulation with arachidonic acid, or anti-P2Y12 (clopidogrel, ticagrelor, prasugrel), via stimulation with adenosine diphosphate (ADP). For the latter, a test via the measurement of the phosphorylation of a cytoplasmic protein called "VASP" is also used routinely, making it possible to further clarify the existence of platelet resistance to anti-P2Y12. Within the vascular medicine department, any discovery of a potential resistance to the anti-platelet treatment of a patient requires a therapeutic adaptation to overcome this phenomenon of "resistance", and to improve the phenomenon of anti-aggregation

fechas

Verificado por última vez: 07/31/2018
Primero enviado: 05/14/2019
Inscripción estimada enviada: 05/14/2019
Publicado por primera vez: 05/15/2019
Última actualización enviada: 05/16/2019
Última actualización publicada: 05/20/2019
Fecha de inicio real del estudio: 12/31/2017
Fecha estimada de finalización primaria: 02/28/2018
Fecha estimada de finalización del estudio: 03/30/2018

Condición o enfermedad

Vascular Diseases

Fase

-

Grupos de brazos

BrazoIntervención / tratamiento
search for antiplatelet resistance
Patients who were hospitalized in the vascular medicine department and who benefited from a search for antiplatelet resistance between April 2014 and November 2017.

Criterio de elegibilidad

Edades elegibles para estudiar 18 Years A 18 Years
Sexos elegibles para estudiarAll
Método de muestreoNon-Probability Sample
Acepta voluntarios saludablessi
Criterios

Inclusion Criteria:

- Patients older than 18 years

- All patients who were hospitalized in the vascular medicine department and who received a search for antiplatelet resistance between April 2014 and November 2017.

Exclusion Criteria:

- Opposition to participation in the study

- Absence of follow-up after antiplatelet resistance testing

Salir

Medidas de resultado primarias

1. Number of re-occlusion of the revascularization procedure [1 year]

Medidas de resultado secundarias

1. Number of cardiovascular events [1 year]

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