This case highlights the severe risk of subacute stent thrombosis when interrupting dual antiplatelet therapy early after drug-eluting stent placement for noncardiac surgery.
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Early DAPT interruption for noncardiac surgery carries stent thrombosis risk; this case leaves open optimal perioperative protocols.
In Brief A 44-yr-old woman with a drug-eluting coronary stent placement two weeks before surgery suffered a myocardial infarction in the postanesthesia care unit immediately after hysterectomy. She had missed only one dose of aspirin and clopidogrel preoperatively. Early recognition of subacute stent thrombosis and urgent percutaneous coronary intervention probably prevented her death. In this case report, we highlight perioperative coronary stent issues and discuss their implications. IMPLICATIONS: A coronary stent thrombosed postoperatively requiring cardiac catheterization.
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Murphy et al. (2005) studied this question.
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