Stent-related cardiac events after non-cardiac surgery: drug-eluting stent vs. bare metal stent.
For evaluation of post-operative stent associated cardiac events after drug-eluting stent (DES) implantation we analyzed data of 138 patients who underwent non-cardiac surgery after DES implantation and compared the data with those of 101 patients who underwent non-cardiac surgery after bare metal stent (BMS) implantation. Three patients (2.2%) in DES group developed post-operative cardiac events and none in BMS group (p=0.2). One patient died due to suspected stent thrombosis and the other two had myocardial infarction due to angiographically proven stent thrombosis. The time interval between stent implantation and surgery in those with cardiac events was 6, 264, and 367 days, respectively. Our data shows that peri-operative stent-related thrombotic complications can occur long after DES implantation and careful peri-operative monitoring for cardiac events is needed in patients receiving non-cardiac surgery after DES implantation.
Kim
Hack-Lyoung
HL
Park
Kyung-Woo
KW
Kwak
Jae-Jin
JJ
Kim
Yong-Seok
YS
Sir
Jung-Ju
JJ
Lee
Sook-Jin
SJ
Lee
Hae-Young
HY
Chang
Hyuk-Jae
HJ
Kang
Hyun-Jae
HJ
Cho
Young-Seok
YS
Chung
Woo-Young
WY
Chae
In-Ho
IH
Choi
Dong-Joo
DJ
Kim
Hyo-Soo
HS
Oh
Byung-Hee
BH
Park
Young-Bae
YB
Koo
Bon-Kwon
BK
D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects* / Q000379:methods; D023903:Coronary Restenosis / Q000453:epidemiology* / Q000209:etiology; D003328:Coronary Thrombosis / Q000453:epidemiology / Q000209:etiology; D054855:Drug-Eluting Stents / Q000009:adverse effects*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D008297:Male; D008670:Metals; D008875:Middle Aged; D009203:Myocardial Infarction / Q000453:epidemiology / Q000209:etiology; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D011336:Probability; D011475:Prosthesis Failure; D012189:Retrospective Studies; D018570:Risk Assessment; D015607:Stents / Q000009:adverse effects; D013514:Surgical Procedures, Operative / Q000009:adverse effects* / Q000379:methods; D013997:Time Factors
D008670:Metals