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Heart 2009;95:1303-1308 doi:10.1136/hrt.2008.161273
  • Review

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
  • Accepted 23 December 2008
  • Published Online First 12 February 2009

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.

Footnotes

  • Competing interests: None.

Responses to this article

  • “Pro-healing” coronary stent before undeferrable major non-cardiac surgery.
    • Federico Piscione,
    • Salvatore Cassese
    Heart published online November 12, 2009
  • RE: Non-Cardiac Surgery and Anti-Platelet Therapy Following Coronary Artery Stenting
    • Luca Carmignani,
    • Stefano Picozzi
    Heart published online May 6, 2009

This Article

  1. Abstract
  2. Full text
  3. PDF
  4. All versions of this article:
    1. hrt.2008.161273v1
    2. 95/16/1303 most recent

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