Document Detail


Management of patients with coronary stents in the ICU.
MedLine Citation:
PMID:  20736832     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE OF REVIEW: To review the contemporary management of patients with coronary stents in the ICU.
RECENT FINDINGS: Coronary stent patients admitted in the ICU may be at increased risk for stent thrombosis, a catastrophic complication with high morbidity and mortality. Dual antiplatelet therapy with aspirin and a P2Y12 receptor antagonist significantly reduces the risk of stent thrombosis; however, it may occasionally need to be discontinued in case of bleeding or when high bleeding risk invasive procedures need to be performed. In such cases, if aspirin can be continued, it can provide some protection from complications. If all antiplatelet therapy needs to be discontinued, temporary administration of a short-acting antiplatelet agent, such as a small molecule glycoprotein IIb/IIIa inhibitor may be helpful. Close monitoring of coronary stent patients may allow prompt diagnosis and treatment of any cardiac complications in the ICU.
SUMMARY: Awareness of the potential risks of coronary stent patients coupled with close monitoring and meticulous attention to the optimum antiplatelet therapy can optimize the outcomes of coronary patients admitted in the ICU.
Authors:
Emmanouil S Brilakis; Subhash Banerjee
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.; Review    
Journal Detail:
Title:  Current opinion in critical care     Volume:  16     ISSN:  1531-7072     ISO Abbreviation:  Curr Opin Crit Care     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-09     Completed Date:  2011-01-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9504454     Medline TA:  Curr Opin Crit Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  426-31     Citation Subset:  IM    
Affiliation:
VA North Texas Healthcare System and University of Texas Southwestern Medical Center at Dallas, Dallas, TX 75216, USA. esbrilakis@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Cardiovascular Diseases / surgery*
Humans
Patient Care Management / organization & administration*
Stents* / classification

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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