Part 4: Heart Stent Care in Bleeding Risk Patients | Dr. Bharat Vijay | ACCC’25 Day 2

In this concluding session, Dr. Bharat Vijay Purohit wraps up his series on High Bleeding Risk (HBR) PCI by sharing the latest trends in antiplatelet therapy and stent strategy. He highlights key trials like ULTIMATE-DAPT, TALOS-AMI, STOPDAPT-2, and HOST-EXAM, showing how early de-escalation to clopidogrel or monotherapy can lower bleeding risks without raising ischemic events.

Dr. Purohit discusses encouraging results from the Japanese Low-Dose Prasugrel and ASSET trials, reflecting a shift away from 12-month DAPT toward shorter or single-agent therapy for many patients. He emphasizes that newer stents and improved risk scoring now allow for safer, personalized treatment in HBR patients.

???? Key Takeaway: With advanced stents and precise patient assessment, shorter DAPT and tailored antiplatelet therapy are redefining safer care for high bleeding risk individuals.

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