Key result
Perioperative management of patients with coronary stents undergoing noncardiac surgery requires balancing the risk of stent thrombosis against bleeding complications from antiplatelet therapy.
Population
Patients with coronary stent implantation undergoing noncardiac surgery
Design
Review
Authors
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Continues to require individualized risk balancing in stented patients needing surgery; leaves open optimal antiplatelet protocols for prospective trials.
This review highlights the clinical dilemma of balancing stent thrombosis and bleeding risks in patients with coronary stents undergoing noncardiac surgery.
Poh et al. (2010) conducted a review in Coronary stent implantation prior to noncardiac surgery. Perioperative management and timing of noncardiac surgery was evaluated. Perioperative management of patients with coronary stents undergoing noncardiac surgery requires balancing the risk of stent thrombosis against bleeding complications from antiplatelet therapy.
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