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Cited by 567

The DOI matches its Crossref record; 25 of the 25 references it cites were found in a registry or an index.

A Clinical Trial of Abciximab in Elective Percutaneous Coronary Intervention after Pretreatment with Clopidogrel

Open access
Kastrati, Adnan, Mehilli, Julinda, Schühlen, Helmut, Dirschinger, Josef, Dotzer, Franz, ten Berg, Jurriën M., Neumann, Franz-Josef, Bollwein, Hildegard, Volmer, Christian, Gawaz, Meinrad, Berger, Peter B., Schömig, Albert·2004·New England Journal of Medicine

Abstract

BACKGROUND: Whether the glycoprotein IIb/IIIa inhibitor abciximab is beneficial in patients undergoing elective percutaneous coronary intervention after pretreatment with clopidogrel is unknown. METHODS: We enrolled 2159 patients with coronary artery disease who underwent a percutaneous coronary intervention: 1079 patients were randomly assigned in a double-blind manner to receive abciximab and 1080 patients to receive placebo. All patients were pretreated with a 600-mg dose of clopidogrel at least two hours before the procedure. The primary end point of the trial was the composite of death, myocardial infarction, and urgent target-vessel revascularization within 30 days after randomization. RESULTS: The incidence of the primary end point was 4 percent (45 patients) in the abciximab group, as compared with 4 percent (43 patients) in the placebo group (relative risk, 1.05; 95 percent confidence interval, 0.69 to 1.59; P=0.82). Most adverse events were myocardial infarctions: the incidence was 4 percent (40 patients) in the abciximab group and 4 percent (41 patients) in the placebo group (P=0.91). Twelve patients (1 percent) in the abciximab group and eight patients (1 percent) in the placebo group had major bleeding complications (P=0.37). Profound thrombocytopenia occurred in 10 patients (1 percent) in the abciximab group but in none in the placebo group (P=0.002). CONCLUSIONS: Our data suggest that in patients at low-to-intermediate risk who undergo elective percutaneous coronary intervention after pretreatment with a high loading dose of clopidogrel, abciximab is associated with no clinically measurable benefit within the first 30 days.

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Crossref · 10.1056/nejmoa031859

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Metadata

Authors
Kastrati, A., Mehilli, J., Schühlen, H., Dirschinger, J., Dotzer, F., ten Berg, J. M., Neumann, F.-J., Bollwein, H., Volmer, C., Gawaz, M., Berger, P. B., & Schömig, A.
Venue
New England Journal of Medicine
Published
2004-01-15
Volume
350
Issue
3
Pages
232-238
ISSN
  • 0028-4793 (ISSN-L)
  • 1533-4406
OpenAlex
W2059136191
Cited by
567
References
25
FWCI
51.22
Type
journal article
Language
en
Open access
bronze

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Kastrati, A., Mehilli, J., Schühlen, H., Dirschinger, J., Dotzer, F., ten Berg, J. M., Neumann, F.-J., Bollwein, H., Volmer, C., Gawaz, M., Berger, P. B., & Schömig, A. (2004). A Clinical Trial of Abciximab in Elective Percutaneous Coronary Intervention after Pretreatment with Clopidogrel. New England Journal of Medicine. https://doi.org/10.1056/nejmoa031859

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.