A coronariastenttel élo betegek perioperatív ellátása nem szívsebészeti beavatkozások esetén - I. Rész az antitrombotikus kezelés alapelvei a beültetett stentnek meefeleloen

Translated title of the contribution: Perioperative management of patients with coronary stent in case of interventions other than cardiac surgery - Part I. - Periopertive treatment of patients with coronary stent

Zima Endre, Mezofi Miklós, Becker Dávid, Szabó György, Merkely Béla, Pénzes István

Research output: Contribution to journalReview article

Abstract

Percutaneous coronary intervention (PCI) is meant to optimalise cardiac status, that is, short-term and long-term outcomes. It is known from large Western databases that stent implantation is performed in 77-85% of coronary interventions, which means hundreds of thousands of new patients with stent every year. The great majority of these patients has to take platelet aggregation inhibitors, namely acetylsalicylic acid and thienopyridin, most often clopidrogel. It presents a major therapeutic dilemma when these patients require noncardiac surgery. First, surgery should be performed with the least possible blood loss, which would be optimal if the platelet aggregation inhibitor therapy - that is indispensable for a certain period because of the stent - was suspended. Second, stent thrombosis has to be avoided, which can only be achieved if platelet aggregation inhibitor therapy is continued. The aim of our paper is to summarise the current guidelines and the risk estimation on the basis of our current knowledge in the perioperative management of patients with coronary stent. In the first part, we overview the platelet aggregation inhibitor agents, their mechanisms of effect, stent types and the minimal therapeutic period to be strictly observed, which depends on the type of stent.

Translated title of the contributionPerioperative management of patients with coronary stent in case of interventions other than cardiac surgery - Part I. - Periopertive treatment of patients with coronary stent
Original languageHungarian
Pages (from-to)607-613
Number of pages7
JournalLege Artis Medicinae
Volume21
Issue number10
Publication statusPublished - Oct 1 2011

ASJC Scopus subject areas

  • Medicine(all)

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