Non-cardiac surgery and antiplatelet therapy following coronary artery stenting

被引:17
作者
Luckie, M. [1 ]
Khattar, R. S. [1 ]
Fraser, D. [1 ]
机构
[1] Manchester Royal Infirm, Manchester Heart Ctr, Manchester M13 9WL, Lancs, England
关键词
DRUG-ELUTING STENTS; OPTICAL COHERENCE TOMOGRAPHY; ST-SEGMENT ELEVATION; HIGH-RISK PATIENTS; TASK-FORCE; MYOCARDIAL-INFARCTION; VASCULAR-SURGERY; CARDIAC EVENTS; BARE-METAL; CLOPIDOGREL;
D O I
10.1136/hrt.2008.161273
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Coronary artery stenting is increasingly used as a treatment for coronary artery disease. A period of antiplatelet therapy is mandatory following coronary stenting, in order to minimise the risk of stent thrombosis. About 5% of patients who undergo coronary stenting will require non-cardiac surgery within 12 months, and the management of antiplatelet therapy in this setting is complex, requiring a balance between the risks of both operative haemorrhage and stent thrombosis. The available evidence to guide decision-making in the management of antiplatelet therapy in this setting is reviewed.
引用
收藏
页码:1303 / 1308
页数:6
相关论文
共 34 条
[11]   Drug-eluting stent thrombosis in patients undergoing non-cardiac surgery: is it always a problem? [J].
Godet, G. ;
Le Manach, Y. ;
Lesache, F. ;
Perbet, S. ;
Coriat, P. .
BRITISH JOURNAL OF ANAESTHESIA, 2008, 100 (04) :472-477
[12]   Prevention of premature ditscontinuation of dual antiplatelet therapy in patients with coronary artery stents [J].
Grines, Cindy L. ;
Bonow, Robert O. ;
Casey, Donald E., Jr. ;
Gardner, Timothy J. ;
Lockhart, Peter B. ;
Moliterno, David J. ;
O'Gara, Patrick ;
Whitlow, Patrick .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2007, 49 (06) :734-739
[13]   Impact of late incomplete stent apposition after sirolimus-eluting stent implantation on 4-year clinical events: intravascular ultrasound analysis from the multicentre, randomised, RAVEL, E-SIRIUS and SIRIUS trials [J].
Hoffmann, R. ;
Morice, M-C ;
Moses, J. W. ;
Fitzgerald, P. J. ;
Mauri, L. ;
Breithardt, G. ;
Schofer, J. ;
Serruys, P. W. ;
Stoll, H-P ;
Leon, M. B. .
HEART, 2008, 94 (03) :322-328
[14]   Pathology of drug-eluting stents in humans - Delayed healing and late thrombotic risk [J].
Joner, Michael ;
Finn, Aloke V. ;
Farb, Andrew ;
Mont, Erik K. ;
Kolodgie, Frank D. ;
Ladich, Elena ;
Kutys, Robert ;
Skorija, Kristi ;
Gold, Herman K. ;
Virmani, Renu .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2006, 48 (01) :193-202
[15]   Catastrophic outcomes of noncardiac surgery soon after coronary stenting [J].
Kaluza, GL ;
Joseph, J ;
Lee, JR ;
Raizner, ME ;
Raizner, AE .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2000, 35 (05) :1288-1294
[16]   Stent-related cardiac events after non-cardiac surgery: Drug-eluting stent vs. bare metal stent [J].
Kim, Hack-Lyoung ;
Park, Kyung-Woo ;
Kwak, Jae-Jin ;
Kim, Yong-Seok ;
Sir, Jung-Ju ;
Lee, Sook-Jin ;
Lee, Hae-Young ;
Chang, Hyuk-Jae ;
Kang, Hyun-Jae ;
Cho, Young-Seok ;
Chung, Woo-Young ;
Chae, In-Ho ;
Choi, Dong-Joo ;
Kim, Hyo-Soo ;
Oh, Byung-Hee ;
Park, Young-Bae ;
Koo, Bon-Kwon .
INTERNATIONAL JOURNAL OF CARDIOLOGY, 2008, 123 (03) :353-354
[17]  
Kunadian Babu, 2006, Interact Cardiovasc Thorac Surg, V5, P630, DOI 10.1510/icvts.2006.140038
[18]   Drug eluting stents are safe for licensed indications, says FDA [J].
Mayor, Susan .
BRITISH MEDICAL JOURNAL, 2006, 333 (7581) :1235-1235
[19]   Drug-eluting stents: a critique [J].
Melikian, N. ;
Wijns, W. .
HEART, 2008, 94 (02) :145-152
[20]  
Newsome L.T., 2006, Anesthesia Patient Safety Foundation Newsletter, V4, P81