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. 2015 Oct 1;37(40):3081–3089. doi: 10.1093/eurheartj/ehv521

Table 3.

Possible (empirical) algorithm for periprocedural (in-hospital early phase) antithrombotic therapy

Bridging i.v. thrombolysis No thrombolysis
No permanent stenting Periprocedural heparin 0–25 U/kg
Aspirin 100 mg/day starting after control CT (within 24 h)
Periprocedural heparin 25–40 U/kg
Aspirin 100 mg/day starting after control CT (within 24 h)
Stent implanted in acute phase Periprocedural heparin 20–30 U/kg
Aspirin 200–300 mg just prior to stent implantation, followed by 100 mg/day
Clopidogrel 75 mg/day starting after control CT (within 24 h)
Periprocedural heparin 25–40 U/kg
Aspirin 200–300 mg just prior to stent implantation, followed by 100 mg/day
Clopidogrel 75 mg/day starting after control CT (within 24 h)
Deferred stent implantation Periprocedural heparin 25–40 U/kg
Aspirin 200–300 mg just prior to stent implantation, followed by 100 mg/day
Clopidogrel 75 mg/day starting just after stenting
Periprocedural heparin 25–40 U/kg
Aspirin 200–300 mg just prior to stent implantation, followed by 100 mg/day
Clopidogrel 75 mg/day starting just after stenting