To the editor: We read with great interest the work by Luckie et al, recently published Online First on the Heart website.1 There is an emerging problem of patients who have recently undergone coronary artery stent placement who then require non-cardiac surgical interventions. This occurs in about 5% of cases within 12 months of the stent placement.2 Coronary artery stenting is followed by a period of double anti-aggregant therapy which, in the case of drug-eluting stents, should …