Document Detail


Successful management of patients with a drug-eluting coronary stent presenting for elective, non-cardiac surgery.
MedLine Citation:
PMID:  17124186     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This paper describes the management of three patients for elective surgery with drug-eluting stents in the coronary circulation. The risks posed at the time of surgery by such patients include acute coronary syndromes, as a result of stent thrombosis, after cessation of anti-platelet therapy and excessive bleeding from continued anti-platelet therapy. We describe a regime for the management of such patients that successfully avoided these risks in three patients with paclitaxel drug-eluting stents requiring elective non-cardiac surgery.
Authors:
L Broad; T Lee; M Conroy; S Bolsin; N Orford; A Black; G Birdsey
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2006-11-22
Journal Detail:
Title:  British journal of anaesthesia     Volume:  98     ISSN:  0007-0912     ISO Abbreviation:  Br J Anaesth     Publication Date:  2007 Jan 
Date Detail:
Created Date:  2006-12-12     Completed Date:  2007-02-07     Revised Date:  2007-07-09    
Medline Journal Info:
Nlm Unique ID:  0372541     Medline TA:  Br J Anaesth     Country:  England    
Other Details:
Languages:  eng     Pagination:  19-22     Citation Subset:  IM    
Affiliation:
Department of Perioperative Medicine, Anaesthesia & Pain Management, The Geelong Hospital, Barwon Health Ryrie Street, Geelong, Victoria 3220, Australia.
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MeSH Terms
Descriptor/Qualifier:
Aged
Coated Materials, Biocompatible
Coronary Restenosis / prevention & control*
Drug Administration Schedule
Drug Delivery Systems
Female
Humans
Male
Middle Aged
Paclitaxel / administration & dosage*
Perioperative Care / methods*
Platelet Aggregation Inhibitors / administration & dosage
Stents*
Surgical Procedures, Elective
Ticlopidine / administration & dosage,  analogs & derivatives
Chemical
Reg. No./Substance:
0/Coated Materials, Biocompatible; 0/Platelet Aggregation Inhibitors; 33069-62-4/Paclitaxel; 55142-85-3/Ticlopidine; 90055-48-4/clopidogrel
Comments/Corrections
Comment In:
Br J Anaesth. 2007 Jun;98(6):841; author reply 841-2   [PMID:  17519264 ]

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


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