Intraoperative drug-eluting stent thrombosis in a patient undergoing robotic prostatectomy

Anesthetic considerations for robotic prostatectomy: a review of the literature

“…These two cases raise questions about the need to transition for anticoagulation in patients with drug-eluting stents who require robotic surgical procedures similar to other noncardiac surgeries. These case reports also detail how both patients had the procedure a few years after the percutaneous coronary intervention (PCI) and still developed fatality, even after presumed reendothelialization [9,10]. These two cases reflect the difficulty faced by all anesthesiologists on a daily basis for noncardiac procedures, such as robotic prostatectomy after PCI.…”

Intraoperative Thrombosis of Right Coronary Artery Drug-Eluting Stent After 2 Years of Dual Antiplatelet Therapy

“…2 Although stent thrombosis is known to occur, 1,3,5,6 including late stent thrombosis, and thrombosis during the perioperative period, 7 intraoperative events related to coronary stents are rarely described. 8 However, late in-stent thrombosis is being described more frequently as more DESs are placed and is an important issue in the perioperative period when antiplatelet therapy is often held. The etiology of late stent thrombosis includes incomplete endothelialization of the stent, stenting across ostia, plaque disruption in nonstented segments close to the stent margin, in-stent restenosis, and extensive plaque prolapse in the stented region.…”

Perspective Chapter: Anaesthetic Management for Robotic Surgery

“…Bradycardia that might develop asystole due to abdominal insufflation is the commonest [33]. Other complications include arrhythmia, atrial fibrillation, bundle branch block, cardiogenic pulmonary oedema, and, less commonly, myocardial ischaemia and infarction [34][35][36].…”