Perioperative discontinuation of antiplatelet therapy of patients with coronary stents

被引：0
|
作者：
Graw, J. [1 ]
Schwenk, W. [2 ]
Volk, T. [1 ]
机构：
[1] Charite Univ Med Berlin, Campus Virchow Klinikum & Campus Mitte, Univ Klin Anasthesiol & Operat Intens Med, D-10117 Berlin, Germany
[2] Charite Univ Med Berlin, Univ Klin Allgemein Visceral Gefass & Thoraxchiru, D-10117 Berlin, Germany
来源：
CHIRURG | 2009年 / 80卷 / 06期
关键词：
Coronary stents; Thrombosis; Surgical haemorrhage; Antiplatelet therapy; Perioperative anticoagulation; NONCARDIAC SURGERY; INTERVENTIONS; PREVENTION; MANAGEMENT; THROMBOSIS;
D O I：
10.1007/s00104-008-1642-3
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
According to the present guidelines, patients with coronary stents are to be treated with dual antiplatelet therapy. In case surgery is needed, the risk of a fatal stent thrombosis by withdrawing antithrombotics needs to be balanced in each individual case against the risk of haemorrhagic complications on continued antiplatelet medication. We present a case of fatal stent thrombosis and discuss the current evidence regarding perioperative continuation and interruption of antiplatelet therapy for this patient population. In summary the haemorrhagic risk with acetylsalicylic acid for secondary prevention seems very low, and it should be discontinued only in selected cases. Continued dual anticoagulation concepts are also discussed.
引用
收藏
页码：498 / 501
页数：4
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