How to Manage a Patient with Haemophilia and ACS Requiring PCI: A Battle between Bleeding and Thrombosis
Konstantinos C. Theodoropoulos,
Sofia Vakalopoulou,
Maria Oikonomou,
George Stavropoulos,
Antonios Ziakas,
Ioannis Kanonidis,
George Kassimis
Affiliations
Konstantinos C. Theodoropoulos
Second Cardiology Department, Hippokration Hospital, Aristotle University of Thessaloniki, 54642 Thessaloniki, Greece
Sofia Vakalopoulou
Haemophilia Centre of Northern Greece, Second Propaedeutic Department of Internal Medicine, Medical School, Hippokration Hospital, Aristotle University of Thessaloniki, 54642 Thessaloniki, Greece
Maria Oikonomou
Second Cardiology Department, Hippokration Hospital, Aristotle University of Thessaloniki, 54642 Thessaloniki, Greece
George Stavropoulos
Second Cardiology Department, Hippokration Hospital, Aristotle University of Thessaloniki, 54642 Thessaloniki, Greece
Antonios Ziakas
First Cardiology Department, University General Hospital AHEPA, Aristotle University of Thessaloniki, 54642 Thessaloniki, Greece
Ioannis Kanonidis
Second Cardiology Department, Hippokration Hospital, Aristotle University of Thessaloniki, 54642 Thessaloniki, Greece
George Kassimis
Second Cardiology Department, Hippokration Hospital, Aristotle University of Thessaloniki, 54642 Thessaloniki, Greece
We present the case of a 70-year-old man with a history of haemophilia B, who presented to our hospital with a non-ST-elevation myocardial infarction. The patient, following consultation by a haemophilia expert, was revascularized with percutaneous coronary intervention (PCI) under adequate clotting factor administration. Patients with haemophilia and acute coronary syndrome, are susceptible to periprocedural bleeding and thrombotic events during PCI, and therefore a balanced management plan should always be implemented by a multidisciplinary team.
