Time after PCI | Low risk of stroke, low risk of bleedinga | High risk of stroke, low risk of bleeding | Low risk of stroke, high risk of bleeding |
---|---|---|---|
0–1 month | DOAC plus P2Y12 inhibitor | DOAC plus P2Y12 inhibitor plus aspirin | DOAC plus P2Y12 inhibitor |
1–6 months | DOAC plus P2Y12 inhibitor | DOAC plus P2Y12 inhibitor | DOAC plus P2Y12 inhibitor |
6–12 months | DOAC plus P2Y12 inhibitor | DOAC plus P2Y12 inhibitor | DOAC only |
After 12 months | DOAC only, discuss risks and benefits | DOAC only, discuss risks and benefits | DOAC only, discuss risks and benefits |
↵a For example, with CHA2DS2-VASc score of 0 or 1 and HAS-BLED score of 0–2.
DOAC = direct-acting oral anticoagulant; PCI = percutaneous coronary intervention