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Antithrombotic Management - AF with PCI — EECC MCQ

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HardArrhythmia & ElectrophysiologyAntithrombotic Management - AF with PCIEECC

A 72-year-old woman taking apixaban for atrial fibrillation undergoes uncomplicated elective PCI for chronic coronary syndrome. Her bleeding risk is high and stent-thrombosis risk is not. Which antithrombotic sequence is most appropriate?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: C — Brief triple therapy, then apixaban plus clopidogrel, then apixaban alone

Current European practice keeps triple therapy as short as the procedural risk permits, commonly no longer than one week after uncomplicated elective PCI. Oral anticoagulation plus clopidogrel then continues for an individualised period, followed by anticoagulant monotherapy.

Reference: https://www.escardio.org/guidelines/clinical-practice-guidelines/all-esc-practice-guidelines/atrial-fibrillation/