[Coronary stents and anaesthesia: it is time to have national data].
We report 13 cases of coronary stent patients, undergoing a non cardiac surgery. Despite an heterogenous perioperative management of antiplatelet agents, none of these patients developed any significant complications. Recently, several case reports of postoperative drug eluting stent thrombosis have been reported. However, the actual incidence of this dramatic event is not known. This confirms the need to perform prospective studies or registries of patients with coronary stents undergoing non cardiac surgery, in order to propose evidence-based recommendations on perioperative antiplatelet management in such patients.
Vichova
Z
Z
Service d'anesthésie-réanimation, EA 1896, centre hospitalier Lyon-Sud, 69495 Lyon Pierre-Bénite cedex, France.
Albaladejo
P
P
Marret
E
E
Lehot
J-J
JJ
Monier
F
F
Marcotte
G
G
Samama
C-M
CM
Piriou
V
V
D000368:Aged; D000369:Aged, 80 and over; D000768:Anesthesia, General; D023903:Coronary Restenosis / Q000517:prevention & control; D023921:Coronary Stenosis / Q000601:surgery; D004343:Drug Implants; D005260:Female; D005602:France; D006406:Hematoma / Q000209:etiology; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D017239:Paclitaxel / Q000008:administration & dosage / Q000627:therapeutic use; D010975:Platelet Aggregation Inhibitors / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use*; D011183:Postoperative Complications / Q000517:prevention & control*; D011446:Prospective Studies; D012042:Registries; D020123:Sirolimus / Q000008:administration & dosage / Q000627:therapeutic use; D015607:Stents / Q000009:adverse effects*; D013514:Surgical Procedures, Operative; D019851:Thrombophilia / Q000209:etiology*; D013927:Thrombosis / Q000517:prevention & control*
D004343:Drug Implants; D010975:Platelet Aggregation Inhibitors; D017239:Paclitaxel; D020123:Sirolimus