Safety and efficacy of dual antiplatelet therapy after percutaneous coronary interventions in patients with end-stage liver disease

Figure 1 Proposed scheme with the main recommendations of how to approach a patient with cirrhosis undergoing percutaneous coronary intervention in elective and emergent settings. A and B: In case of elective percutaneous coronary intervention (PCI) (A), platelet count and portal hypertension work up should be performed (and treated) before the PCI. However, in emergent settings (B) above mentioned work up should be performed after the PCI. PCI: Percutaneous coronary intervention; DAPT: Dual antiplatelet therapy; DES: Drug eluting stent; PPI: Proton pump inhibitor.