title: Successful management of patients with a drug-eluting coronary stent presenting for elective, non-cardiac surgery.
abstract: This paper describes the management of three patients for elective surgery with drug-eluting stents in the coronary circulation. The risks posed at the time of surgery by such patients include acute coronary syndromes, as a result of stent thrombosis, after cessation of anti-platelet therapy and excessive bleeding from continued anti-platelet therapy. We describe a regime for the management of such patients that successfully avoided these risks in three patients with paclitaxel drug-eluting stents requiring elective non-cardiac surgery.
authors.affiliation: Department of Perioperative Medicine, Anaesthesia & Pain Management, The Geelong Hospital, Barwon Health Ryrie Street, Geelong, Victoria 3220, Australia.
authors.forename: L
authors.initials: L
authors.lastname: Broad
authors.forename: T
authors.initials: T
authors.lastname: Lee
authors.forename: M
authors.initials: M
authors.lastname: Conroy
authors.forename: S
authors.initials: S
authors.lastname: Bolsin
authors.forename: N
authors.initials: N
authors.lastname: Orford
authors.forename: A
authors.initials: A
authors.lastname: Black
authors.forename: G
authors.initials: G
authors.lastname: Birdsey
mesh_terms: D000368:Aged; D000077144:Clopidogrel; D020099:Coated Materials, Biocompatible; D023903:Coronary Restenosis / Q000517:prevention & control*; D004334:Drug Administration Schedule; D016503:Drug Delivery Systems; D017558:Elective Surgical Procedures; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017239:Paclitaxel / Q000008:administration & dosage*; D019990:Perioperative Care / Q000379:methods*; D010975:Platelet Aggregation Inhibitors / Q000008:administration & dosage; D015607:Stents; D013988:Ticlopidine / Q000008:administration & dosage / Q000031:analogs & derivatives
chemical_list: D020099:Coated Materials, Biocompatible; D010975:Platelet Aggregation Inhibitors; D000077144:Clopidogrel; D013988:Ticlopidine; D017239:Paclitaxel