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Non-cardiac surgery and antiplatelet therapy following coronary artery stenting
  1. M Luckie,
  2. R S Khattar,
  3. D Fraser
  1. Manchester Heart Centre, Manchester Royal Infirmary, Manchester, UK
  1. Dr D Fraser, Manchester Heart Centre, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK; douglas.fraser{at}cmmc.nhs.uk

Abstract

Coronary artery stenting is increasingly used as a treatment for coronary artery disease. A period of antiplatelet therapy is mandatory following coronary stenting, in order to minimise the risk of stent thrombosis. About 5% of patients who undergo coronary stenting will require non-cardiac surgery within 12 months, and the management of antiplatelet therapy in this setting is complex, requiring a balance between the risks of both operative haemorrhage and stent thrombosis. The available evidence to guide decision-making in the management of antiplatelet therapy in this setting is reviewed.

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Footnotes

  • Competing interests: None.

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