Research Article

Thrombotic vs. Bleeding Events of Interruption of Dual Antiplatelet Therapy within 12 Months among Patients with Stent-Driven High Ischemic Risk Definition following PCI

Table 4

Primary ischemic endpoint in selected subgroups.

DAPT interruption ≤12 months (n = 1122)DAPT maintenance >12 months (n = 2809)HR (95% CI) for interaction

Age0.570
 <65 years21/765 (2.7%)34/1983 (1.7%)1.688 (0.979–2.912)
 ≥65 years24/358 (6.7%)27/825 (3.3%)2.168 (1.250–3.762)
Sex0.470
 Female12/268 (4.5%)12/654 (1.8%)2.454 (1.102–5.466)
 Male33/855 (3.9%)49/2154 (2.3%)1.829 (1.175–2.849)
Diabetes mellitus0.350
 No20/578 (3.5%)33/1499 (2.2%)1.596 (0.914–2.786)
 Yes25/545 (4.6%)28/1309 (2.1%)2.346 (1.365–4.034)
Chronic kidney disease0.834
 No35/1019 (3.4%)47/2560 (1.8%)2.026 (1.306–3.142)
 Yes10/104 (9.6%)14/248 (5.6%)1.751 (0.778–3.943)
Smoking0.182
 No24/495 (4.8%)24/1208 (2.0%)2.577 (1.462–4.542)
 Yes21/628 (3.3%)37/1600 (2.3%)1.545 (0.903–2.644)
Acute coronary syndrome0.310
 No18/446 (4.0%)22/1240 (1.8%)2.479 (1.326–4.635)
 Yes27/677 (4.0%)39/1568 (2.5%)1.632 (0.996–2.673)
Previous MI0.440
 No31/882 (4.0%)46/2202 (2.1%)1.767 (1.120–2.788)
 Yes14/241 (5.8%)15/606 (2.5%)2.531 (1.212–5.287)
Multivessel disease0.284
 No6/125 (4.8%)4/283 (1.4%)3.683 (1.037–13.083)
 Yes39/998 (3.9%)57/2525 (2.3%)1.813 (1.206–2.728)
Generation of DES0.889
 First-generation DES4/115 (3.5%)6/286 (2.1%)2.030 (0.562–7.340)
 Second-generation DES41/1008 (4.1%)55/2522 (2.2%)1.965 (1.310–2.946)
ARC-HBR0.699
 No24/858 (2.8%)39/2236 (1.7%)1.695 (1.018–2.823)
 Yes20/264 (7.6%)23/573 (4.0%)1.977 (1.085–3.602)

DES indicates drug-eluting stent.