Coronary Stents and Noncardiac Surgery: Current Clinical Challenges and Conundrums
Article first published online: 22 JUL 2009
© 2009 Wiley Periodicals, Inc.
Volume 13, Issue 1, pages 8–13, Winter 2010
How to Cite
Heir, J. S., Gottumukkala, V., Singh, M., Yusuf, S. W. and Riedel, B. (2010), Coronary Stents and Noncardiac Surgery: Current Clinical Challenges and Conundrums. Preventive Cardiology, 13: 8–13. doi: 10.1111/j.1751-7141.2009.00044.x
- Issue published online: 14 DEC 2009
- Article first published online: 22 JUL 2009
- Manuscript received February 22, 2009; revised April 6, 2009; accepted April 15, 2009
This article discusses how perioperative physicians are currently faced with unique challenges when providing care for surgical patients who have undergone recent percutaneous transluminal coronary angioplasty with drug-eluting stent (DES) placement. Despite adhering to the currently recommended antiplatelet regimens, these patients may still be at risk for sustaining a myocardial infarction secondary to stent thrombosis during the perioperative period. Given the high morbidity and mortality rates associated with perioperative myocardial infarction, it is important that the perioperative care of surgical patients with previous DES placement should be discussed, evaluated, and clarified by all practitioners who may be involved in their care.
Prev Cardiol. 2010;13:8–13.©2009 Wiley Periodicals, Inc.