Anaesthetic considerations in a parturient with critical coronary artery disease and a drug-eluting stent presenting for caesarean section

被引：23

作者：

Cuthill, JA

Young, S

Greer, IA

Oldroyd, K

机构：

[1] Univ Glasgow, Dept Anaesthet, Dept Obstet & Gynaecol, Princess Royal Matern Hosp, Glasgow G31 2ER, Lanark, Scotland

[2] Western Infirm & Associated Hosp, Dept Cardiol, Glasgow, Lanark, Scotland

来源：

INTERNATIONAL JOURNAL OF OBSTETRIC ANESTHESIA | 2005年 / 14卷 / 02期

关键词：

coronary stent; drug-eluting; coronary heart disease in pregnancy; clopidogrel;

D O I：

10.1016/j.ijoa.2004.10.010

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

A parturient presented with her first symptoms of coronary artery disease at 18 weeks' gestation. Following an angiogram, a drug-eluting stent was inserted, resulting in resolution of her symptoms. The patient was prescribed anti-platelet medication including clopidogrel. She was delivered by elective caesarean section at 35 weeks under general anaesthesia. The anaesthetic management is discussed and a review of the literature presented. (c) 2004 Elsevier Ltd. All rights reserved.

引用

页码：167 / 171

页数：5

共 29 条

[21] Angiographic findings of the multicenter Randomized Study With the Sirolimus-Eluting Bx Velocity Balloon-Expandable Stent (RAVEL) - Sirolimus-eluting stents inhibit restenosis irrespective of the vessel size [J].

Regar, E ;

Serruys, PW ;

Bode, C ;

Holubarsch, C ;

Guermonprez, JL ;

Wijns, W ;

Bartorelli, A ;

Constantini, C ;

Degertekin, M ;

Tanabe, K ;

Disco, C ;

Wuelfert, E ;

Morice, MC .

CIRCULATION, 2002, 106 (15) :1949-1956

[22]

Samama CM, 2002, CAN J ANAESTH, V49, pS26

[23] SUCCESSFUL DELIVERY FOLLOWING MYOCARDIAL-ISCHEMIA DURING THE 2ND TRIMESTER OF PREGNANCY [J].

SHALEV, Y ;

BENHUR, H ;

HAGAY, Z ;

BLICKSTEIN, I ;

EPSTEIN, M ;

AYZENBERG, O ;

GELVEN, A ;

CASPI, A .

CLINICAL CARDIOLOGY, 1993, 16 (10) :754-756

[24] MYOCARDIAL-INFARCTION DURING PREGNANCY - MANAGEMENT AND OUTCOME OF 2 PREGNANCIES [J].

SHEIKH, AU ;

HARPER, MA .

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1993, 169 (02) :279-284

[25] Coronary artery bypass surgery during pregnancy [J].

Silberman, S ;

Fink, D ;

Berko, RS ;

Mendzelevski, B ;

Bitran, D .

EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 1996, 10 (10) :925-926

[26]

Steinhubl SR, 2003, JAMA-J AM MED ASSOC, V289, P987

[27] First drug-eluting coronary stent approved [J].

Thompson, CA .

AMERICAN JOURNAL OF HEALTH-SYSTEM PHARMACY, 2003, 60 (12) :1210-+

[28] Remifentanil in obstetric analgesia: A dose-finding study [J].

Volmanen, P ;

Akural, EI ;

Raudaskoski, T ;

Alahuhta, S .

ANESTHESIA AND ANALGESIA, 2002, 94 (04) :913-917

[29] Effect of clopidogrel on bleeding after coronary artery bypass surgery [J].

Yende, S ;

Wunderink, RG .

CRITICAL CARE MEDICINE, 2001, 29 (12) :2271-2275

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