| Perioperative management for patients undergoing noncardiac surgery after percutaneous coronary intervention. |
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Hye Won Lee |
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Department of Anesthesiology and Pain Medicine, Korea University College of Medicine, Seoul, Korea. hyewonmd@unitel.co.kr |
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| Abstract |
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The management of patients with recent coronary artery stents presenting for noncardiac surgery has become a major topic of interest and concern for all perioperative caregivers. Perioperative coronary stent thrombosis is a catastrophic complication that occur in patients receiving both bare-metal and drug-iluting stents. Noncardiac surgery appears to increase the risk that recently-placed stents thrombose, especially when surgery is performed early after stenting, and particularly if dual antiplatelet therapy is discontinued. This review examines the available literature on the perioperative management of these patients. I reviewed the existing data about the present method of percutaneous coronary intervention; the different types of coronary stent currently available; recommended time interval for each procedure to proceed to the operation; antiplatelet therapy for prevention of stent thrombosis; and the recommended antiplatelet regimens that the patient with a coronary stent will be receiving. |
| Key Words:
anesthetic technique; coronary stent; non-cardiac surgery; percutaneous coronary intervention |
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