Contemporary approaches to perioperative management of coronary stents and to preoperative coronary revascularization: a survey of 374 interventional cardiologists

Contemporary approaches to saphenous vein graft interventions: A survey of 275 interventional cardiologists

“…Our study has important limitations. The response rate was relatively low although it was similar to other online surveys [32]. Reimbursement for completing the survey could increase response rates, but was not feasible in this study due to limited resources.…”

Adherence of French cardiologists to guidelines for non-cardiac surgery

“…While often requested in the preoperative period for the evaluation of perioperative cardio-vascular risk, only one study tried to evaluate cardiologist adherence to these guidelines. Based on the North-American guidelines published in 2007, a survey was published on how North-American interventional cardiologists managed patients with coronary stents undergoing noncardiac surgery [4,12]. The results were in line with guidelines concerning the type of coronary stent to use and the optimal delay before proceeding with non-cardiac surgery.…”

Outcomes of a preoperative “bridging” strategy with glycoprotein IIb/IIIa inhibitors to prevent perioperative stent thrombosis in patients with drug-eluting stents who undergo surgery necessitating interruption of thienopyridine administration

“…Our cases demonstrate that postponing surgery for >12 months post stenting is not necessarily safe, as all stent thrombosis cases in our series occurred with surgery performed >12 months post stenting, in spite of using preoperative glycoprotein IIb/IIIa "bridging". Patients with prior DES implantation should therefore undergo surgery at centres able to perform primary percutaneous coronary intervention, in order to treat perioperative stent thrombosis promptly, should it occur 1,23 . Repeat stent implantation should in general be avoided if a good angiographic result can be obtained with balloon angioplasty alone; however, if repeat stenting is needed to treat the thrombosed stent, bare metal stent implantation is preferable to repeat drug-eluting stent implantation to minimise the risk for recurrent stent thrombosis, as was done in two patients in our series.…”