作者
Juan V Llau, Raquel Ferrandis, Pilar Sierra, Aurelio Gómez-Luque
发表日期
2010/10/5
来源
Vascular health and risk management
页码范围
855-867
出版商
Taylor & Francis
简介
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 protocols after positioning a coronary stent, the evidence of increased risk of ST associated with the withdrawal of antiplatelet drugs and increased bleeding risk associated with its maintenance, the different perioperative antiplatelet protocols when patients are scheduled for surgery or need an urgent operation, and the therapeutic options if excessive bleeding occurs.
学术搜索中的文章
JV Llau, R Ferrandis, P Sierra, A Gómez-Luque - Vascular health and risk management, 2010