Noncardiac surgery following percutaneous coronary intervention.
نویسندگان
چکیده
Patient with coronary artery disease (CAD) undergoing major noncardiac surgery (NCS) are at increased risk of serious perioperative cardiac complications. At the same time, safety of percutaneous coronary intervention (PCI) before noncardiac surgery has been questioned. This paper reviews the available literature regarding the safety of PCI before NCS. At the same time, cardiac evaluation before NCS, perioperative medical management of patients undergoing NCS, and percutaneous coronary intervention and timing of NCS is also discussed.
منابع مشابه
The risk of adverse cardiac and bleeding events following noncardiac surgery relative to antiplatelet therapy in patients with prior percutaneous coronary intervention.
Noncardiac surgery (NCS) may be required within the first year after percutaneous coronary intervention (PCI) in approximately 4% of patients and is the second most common reason for premature discontinuation of antiplatelet therapy (APT),which may, in turn, increase the risk of perioperative ischemic events, particularly stent thrombosis. Its continuation may increase the risk of perioperative...
متن کاملClinical Outcome of Noncardiac Surgery in Patients With History of Coronary Artery Revascularization by Percutaneous Coronary Intervention Versus Coronary Artery Bypass Graft Surgery
Objective Although safety concerns still remain among patients undergoing unanticipated noncardiac surgery after prior percutaneous coronary intervention (PCI), it has not been directly compared with coronary artery bypass grafting (CABG). The objective of this study was to compare clinical outcomes after noncardiac surgery in patients with prior (>6 months) coronary revascularization by PCI or...
متن کاملNoncardiac surgery in patients with coronary artery stents.
T HE MANAGEMENT OF PATIENTS WHO UNdergo coronary artery stent implantation and subsequently require noncardiac surgery is a real and challenging clinical problem. In 2008, more than 800 000 percutaneous coronary procedures were performed in the United States, with coronary stents implanted in over 96% of cases. Approximately 5% of patients undergo noncardiac surgery in the 12 months following c...
متن کاملNoncardiac surgery and bleeding after percutaneous coronary intervention.
BACKGROUND The decision on whether to implant a drug-eluting or bare-metal stent during percutaneous coronary intervention (PCI) depends in part on the perceived likelihood of the patient developing late stent thrombosis. Noncardiac surgery and bleeding are associated with discontinuation of dual antiplatelet therapy and with increased stent thrombosis. We assessed the incidence of and predicto...
متن کاملThe Epidemiology and Outcomes of Percutaneous Coronary Intervention Before High‐Risk Noncardiac Surgery in Contemporary Practice: Insights From the Blue Cross Blue Shield of Michigan Cardiovascular Consortium (BMC2) Registry
BACKGROUND Percutaneous coronary intervention (PCI) is sometimes performed with the intent to lower cardiovascular risk before high-risk noncardiac surgery (HRNCS). There are limited data on the frequency and outcome of PCIs performed in this setting. METHODS AND RESULTS We assessed the frequency, characteristics, and in-hospital outcomes of patients undergoing PCI as part of the preoperative...
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ورودعنوان ژورنال:
- Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions
دوره 63 3 شماره
صفحات -
تاریخ انتشار 2004