Evidence map›Paper›PMID 42769537›Full record

ReviewJournal of the Society for Cardiovascular Angiography & Interventions2026

Early Aspirin Discontinuation Following PCI for Acute Coronary Syndromes: A Systematic Review and Meta-Analysis of Reconstructed Individual Patient Data.

Vinícius Martins Rodrigues Oliveira, Lucas M Barbosa, Ludimilla Pereira Tartuce, Robert Willian Anastácio Alcântara, Paulo Roberto Ferreira Tartuce Filho, Maria do Carmo Pereira Nunes, Humberto Graner Moreira, Bruno Ramos Nascimento, Deepak L Bhatt

Abstract readReview
In one paragraph

Review in Journal of the Society for Cardiovascular Angiography & Interventions, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Vinícius Martins Rodrigues OliveiraFaculdade de Medicina, Universidade Federal de Goiás, Goiânia, Brazil.
Lucas M BarbosaFederal University of Minas Gerais, Belo Horizonte, Brazil.
Ludimilla Pereira TartuceInstituto de Cardiologia e Radiologia Intervencionista de Rio Verde, Rio Verde, Brazil.
Robert Willian Anastácio AlcântaraClínica Aurus, Oliveira, Brazil.
Paulo Roberto Ferreira Tartuce FilhoInstituto de Cardiologia e Radiologia Intervencionista de Rio Verde, Rio Verde, Brazil.
Maria do Carmo Pereira NunesFederal University of Minas Gerais, Belo Horizonte, Brazil.
Humberto Graner MoreiraFaculdade de Medicina, Universidade Federal de Goiás, Goiânia, Brazil.
Bruno Ramos NascimentoFederal University of Minas Gerais, Belo Horizonte, Brazil.
Deepak L BhattMount Sinai Fuster Heart Hospital, New York, New York.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Dual antiplatelet therapy (DAPT) is well established for patients with acute coronary syndrome (ACS) undergoing percutaneous coronary intervention (PCI). Contemporary studies demonstrated that a shorter DAPT strategy may reduce bleeding, while preserving ischemic protection. However, optimal timing of aspirin discontinuation remains uncertain. Methods: We performed a systematic review and meta-analysis of randomized controlled trials comparing standard 12-month DAPT versus early aspirin discontinuation (≤1-2 months), following PCI for ACS, excluding studies with immediate aspirin withdrawal. We systematically searched PubMed, Embase, and Cochrane. Individual patient data were reconstructed from Kaplan-Meier (KM) curves. Hazard ratios (HRs) and their 95% CIs were estimated using Cox regression. All statistical analyses were performed using R software, version 4.5.0. Results: We included 5 randomized controlled trials comprising 12,984 patients; 6473 (49.8%) were randomized to early aspirin discontinuation. Short-term DAPT was associated with a reduction in the risk of bleeding (HR, 0.44; 95% CI, 0.34-0.55; Conclusion: In trials evaluating aspirin discontinuation at approximately 1 month following PCI for ACS, transitioning to P2Y

Indexed as

acute coronary syndromedual antiplatelet therapymeta-analysisP2Y12 inhibitorpercutaneous coronary intervention

Identifiers

PMID42769537
PMCPMC13591527

What OpenQuestion holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.