Successful management of patients with a drug-eluting coronary stent presenting for elective, non-cardiac surgery

被引：80

作者：

Broad, L.

Lee, T.

Conroy, M.

Bolsin, S.

Orford, N.

Black, A.

Birdsey, G.

机构：

[1] Geelong Hosp, Dept Perioperat Med Anaesthsia & Pain Management, Barwon Hlth, Geelong, Vic 3220, Australia

[2] Geelong Hosp, Dept Intens Care Med, Barwon Hlth, Geelong, Vic 3220, Australia

[3] Geelong Hosp, Dept Cardiol, Barwon Hlth, Geelong, Vic 3220, Australia

[4] Geelong Hosp, Dept Pharm, Barwon Hlth, Geelong, Vic 3220, Australia

来源：

BRITISH JOURNAL OF ANAESTHESIA | 2007年 / 98卷 / 01期

关键词：

blood; coagulation; heart; coronary occlusion; surgery; preoperative period;

D O I：

10.1093/bja/ael318

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

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.

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页码：19 / 22

页数：4

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