Metzler, H; Huber, K; Kozek-Langenecker, S.
Anaesthesia in patients with drug-eluting stents.
Curr Opin Anaesthesiol. 2008; 21(1): 55-59.
Doi: 10.1097/ACO.0b013e3282f357b6
Web of SciencePubMedFullTextFullText_MUG
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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