Key result
Postponing non-cardiac surgery until after stent re-endothelialization is complete and carefully managing antiplatelet therapy is recommended to balance the risks of stent thrombosis and major bleeding.
Multidisciplinary consensus is required for urgent surgery in stented patients, balancing the high risk of fatal stent thrombosis upon antiplatelet cessation against surgical bleeding risks.
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Multidisciplinary input essential for urgent surgery in stented patients; leaves open optimal antiplatelet protocols for prospective trials.
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Moťovská et al. (2010) conducted a review in Patients with intracoronary stents undergoing non-cardiac surgery. Perioperative antithrombotic therapy management was evaluated. Postponing non-cardiac surgery until after stent re-endothelialization is complete and carefully managing antiplatelet therapy is recommended to balance the risks of stent thrombosis and major bleeding.
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