Choice of antiplatelet therapy around complex revascularisation
A 79-year-old diabetic male patient with no history of coronary disease is referred to you to undergo angioplasty for tissue loss on the tips of the hallux and second toe. He is taking Aspirin 75mg. From preoperative imaging he needs a 20cm SFA occlusion stopping before the adductor hiatus recanalizing as well as multilevel tibial disease which appears to be a combination of short occlusions and stenoses. The dorsal pedal is seen in the foot and is in continuity with the arch. The PT artery appears occluded through it’s whole length.
- Switch to another antiplatelet
- Dual therapy
- Patency of angioplasty
- Drug therapy (all drugs)
- Compliance with other interventions such as dressings and offloading