Ticagrelor can be discontinued 2-3 days prior to CABG without increasing Bleeding Risk
By : Dr. Nandita Mohan
By : Dr. Prem Aggarwal
Published On 2021-11-30 08:55 GMT | Update On 2021-12-15 06:26 GMT
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According to new randomized data, in patients with ACS, performing CABG within a couple of days after ticagrelor cessation is noninferior to waiting 5 or 6 days in terms of bleeding events.
Moreover, patients with delayed CABG had more presurgical ischemic events and longer hospital stays. To prevent bleeding, current US guidelines recommend waiting at least 5 days to perform nonurgent CABG on patients with ACS who had been taking ticagrelor, while European guidelines shorten that period to at least 3 days.
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