2010
DOI: 10.2147/vhrm.s7402
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Prevention of the renarrowing of coronary arteries using drug-eluting stents in the perioperative period: an update

Abstract: The management of patients scheduled for surgery with a coronary stent, and receiving 1 or more antiplatelet drugs, has many controversies. The premature discontinuation of antiplatelet drugs substantially increases the risk of stent thrombosis (ST), myocardial infarction, and cardiac death, and surgery under an altered platelet function could also lead to an increased risk of bleeding in the perioperative period. Because of the conflict in the recommendations, this article reviews the current antiplatelet pro… Show more

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Cited by 10 publications
(2 citation statements)
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“…[869][870][871][872] Neither aspirin nor clopidogrel monotherapy needs to be discontinued before urgent orthopaedic surgery, and surgery should not be delayed in patients receiving such treatment. [872][873][874][875][876][877][878][879] Recent studies examining the effect of prior antiplatelet therapy on outcome in patients with spontaneous ICH have shown conflicting results. 880 A large, prospective trial demonstrated that antiplatelet medication at ICH onset was not associated with increased haemorrhage volumes, haemorrhage growth, or clinical outcome at 90 days.…”
Section: Allogeneic Blood Transfusion Is Associated With An Increasedmentioning
confidence: 99%
“…[869][870][871][872] Neither aspirin nor clopidogrel monotherapy needs to be discontinued before urgent orthopaedic surgery, and surgery should not be delayed in patients receiving such treatment. [872][873][874][875][876][877][878][879] Recent studies examining the effect of prior antiplatelet therapy on outcome in patients with spontaneous ICH have shown conflicting results. 880 A large, prospective trial demonstrated that antiplatelet medication at ICH onset was not associated with increased haemorrhage volumes, haemorrhage growth, or clinical outcome at 90 days.…”
Section: Allogeneic Blood Transfusion Is Associated With An Increasedmentioning
confidence: 99%
“… 9) The causes of stent thrombosis include delayed endothelialization, early cessation of antiplatelet drugs, hypersensitivity reaction of DESs to polymers, resistance to antiplatelet drugs, and lesion patterns branched lesions, and presence of risk factors such as diabetes and kidney failure. 10) 11) …”
Section: Introductionmentioning
confidence: 99%