Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Vicenzi, MN.
The risk of stent thrombosis in the perioperative setting
Wien Med Wochenschr. 2009; 159(19-20): 501-506.
Doi: 10.1007/s10354-009-0715-3
PubMed
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- Führende Autor*innen der Med Uni Graz
- Vicenzi Martin
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- Abstract:
- Percutaneous coronary interventions associated with a need for long-term dual anti-platelet therapy are steadily increasing. Accordingly, reports of severe perioperative complications in this high-risk group of patients are also increasing. Complications can be categorized into two groups: coronary ischemia or myocardial infarction due to acute stent thrombosis or increased blood loss. Risk of stent thrombosis is higher compared to the risk of bleeding. The article discusses the perioperative management based on an informative case report and recent evidence: Elective surgery has to be postponed until the end of dual anti-platelet therapy. Management of patients planned for semi-elective surgery should be individualized with interdisciplinary consensus. If clopidogrel is withdrawn, aspirin should be administered throughout the perioperative period. Careful surgical technique is required. If surgery is planned within 12 months, implantation of bare metal stents is recommended.
- Find related publications in this database (using NLM MeSH Indexing)
- Angioplasty, Balloon, Coronary -
- Cooperative Behavior -
- Coronary Restenosis - diagnosis
- Coronary Thrombosis - diagnosis
- Drug Therapy, Combination -
- Gastrointestinal Hemorrhage - chemically induced
- Humans -
- Interdisciplinary Communication -
- Kidney Neoplasms - surgery
- Male -
- Middle Aged -
- Myocardial Infarction - diagnosis
- Nephrectomy -
- Patient Care Team -
- Perioperative Care -
- Platelet Aggregation Inhibitors - adverse effects
- Postoperative Complications - chemically induced
- Risk Factors -
- Stents -