Key result
Experts recommend avoiding premature discontinuation of antiplatelet drug therapy in patients with recent coronary artery stents presenting for noncardiac surgery.
Why the study?
How should antiplatelet therapy be managed in patients with recent drug-eluting stents presenting for noncardiac surgery?
How should antiplatelet therapy be managed in patients with recent drug-eluting stents presenting for noncardiac surgery?
Premature discontinuation of antiplatelet therapy should be avoided in patients with recent drug-eluting stents undergoing noncardiac surgery due to increased risks.
Answers are grounded in this paper and cite their sources.
Supports avoiding premature antiplatelet stoppage in recent stent patients for noncardiac surgery; leaves open optimal individualized strategies.
PURPOSE OF REVIEW: 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. This review will update recent reports and particularly new guidelines as well as recommendations. RECENT FINDINGS: Based on the available literature all experts recommend avoiding premature discontinuation of antiplatelet drug therapy if possible except for a few surgical procedures. Drug-eluting stents obviously carry more risks than bare-metal stents. SUMMARY: Anaesthesiologists may understand the specific problem of drug-eluting stents, the recent debate among cardiologists and the implications for the perioperative scenario.
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Metzler et al. (2008) conducted a review in Patients with recent coronary artery stents presenting for noncardiac surgery. Premature discontinuation of antiplatelet drug therapy vs. Continuation of antiplatelet therapy was evaluated. Experts recommend avoiding premature discontinuation of antiplatelet drug therapy in patients with recent coronary artery stents presenting for noncardiac surgery.
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