Interventional Post-ACS Antithrombotic Trials at ESC Congress 2026 - American College of Cardiology
Four late-breaking trials, presented at ESC Congress 2026 focused on post-acute coronary syndrome (ACS) antithrombotic therapy. LIBREXIA ACS examined adding the factor XIa inhibitor milvexian to antiplatelet therapy after ACS, PREMIUM looked at aspirin omission at the time of primary PCI for STEMI, SWITCH SWEDEHEART evaluated whether to switch from ticagrelor to prasugrel in ACS, and A-CLOSE compared clopidogrel monotherapy with extended dual antiplatelet therapy (DAPT) after high-risk PCI. LIBREXIA ACS: Can Factor XIa Inhibition Improve Outcomes After ACS?










