What question did this study set out to answer?

To establish practical, interdisciplinary clinical recommendations for managing antiplatelet therapy during the perioperative period in patients with coronary stents undergoing surgical procedures.

July 1, 2012Giornale italiano di cardiologiaOpen Access

Stent coronarico e chirurgia: la gestione perioperatoria della terapia antiaggregante nel paziente portatore di stent coronarico candidato a intervento chirurgico

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To establish practical, interdisciplinary clinical recommendations for managing antiplatelet therapy during the perioperative period in patients with coronary stents undergoing surgical procedures.
A multidisciplinary expert panel of cardiologists and surgeons collaboratively developed clinical consensus recommendations.
The panel established ischemic risk stratification based on clinical and procedural criteria and categorized surgical interventions by hemorrhagic risk.
Dual antiplatelet therapy should be maintained without interruption in surgical procedures carrying a low risk of bleeding.
Aspirin monotherapy should be continued throughout the perioperative phase across the majority of surgical operations.
In situations with high concurrent risks of both bleeding and thrombosis where oral antiplatelet agents must be stopped, bridging with short-acting intravenous glycoprotein IIb/IIIa inhibitors such as tirofiban or eptifibatide is recommended.

Structured PICO

Population

Patients with coronary stents undergoing surgery

Intervention

Perioperative management of antiplatelet therapy (including continuation of aspirin, or bridging with short-acting intravenous glycoprotein IIb/IIIa inhibitors like tirofiban or eptifibatide)

This consensus document provides practical recommendations for managing antiplatelet therapy in patients with coronary stents undergoing surgery, balancing ischemic and hemorrhagic risks.

Discussion

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Implication

Informs perioperative DAPT decisions in stented patients to balance ischemic and bleeding risks; extends prior consensus with risk-stratified bridging guidance.

Cite This Study

Rossini et al. (2012) studied this question.

synapsesocial.com/papers/6a867c557aa83aa0d2942a95 https://doi.org/10.1714/1114.12251

Topics

Dual antiplatelet therapy

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Implication

Informs perioperative DAPT decisions in stented patients to balance ischemic and bleeding risks; extends prior consensus with risk-stratified bridging guidance.

Stent coronarico e chirurgia: la gestione perioperatoria della terapia antiaggregante nel paziente portatore di stent coronarico candidato a intervento chirurgico

Key Points

Structured PICO

Discussion

Implication

Cite This Study

Topics

Stent coronarico e chirurgia: la gestione perioperatoria della terapia antiaggregante nel paziente portatore di stent coronarico candidato a intervento chirurgico

Key Points

Structured PICO

Discussion

Implication

Cite This Study

Also Consider

Topics

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