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LettersThe authors’ reply:
Manchester Heart Centre, Manchester Royal Infirmary, Manchester, UK
Correspondence to:
Correspondence to Dr D G W Fraser, Manchester Heart Centre Oxford Road Manchester M13 9WL, UK; doug.fraser@cmmc.nhs.uk
| The first 150 words of the full text of this article appear below. |
We thank Drs Carmignani and Picozzi for their comment on our article1 and for providing an insight into their experience of newly diagnosed neoplastic disorders requiring surgery after coronary stenting.2 We agree that with rising rates of coronary stent implantation, the need for unexpected non-cardiac surgery during dual antiplatelet therapy following stenting will be an increasing problem in the future. The diagnosis of any concealed condition requiring non-cardiac surgery may allow operative intervention to be undertaken before stent implantation, provided that the risk of potential perioperative cardiac complications is not excessive. Screening programmes exist in the UK for cervical, breast and colonic cancer, as well as a "risk management programme" for prostate cancer, and a screening programme for abdominal aortic aneurysm due to start in 2009. We agree that clinicians should aim to ensure that appropriate screening is up-to-date before elective coronary intervention, in order to minimise the chance
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- Non-cardiac surgery and antiplatelet therapy following coronary artery stenting
- L Carmignani and S Picozzi
Heart 2009 95: 1537.[Extract] [Full Text] [PDF]
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