2014


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2014/№4

Non-cardiac surgery after coronary stenting: Current view of the issue

Sumin A. N.

Keywords: non-cardiac surgery, stenting, surgical therapy

DOI: 10.18087/rhj.2014.4.1908

Cardiac complications are the major cause of perioperative mortality in non-cardiac interventions. As invasive cardiology progressively develops, more patients undergo non-cardiac operations after transcatheter coronary interventions. After coronary stenting, double antiplatelet therapy (DAT) is required on a long-term basis. If during this therapy non-cardiac surgery is needed a difficult clinical dilemma emerges: DAT continuation would increase the risk of perioperative bleeding whereas DAT discontinuation would increase the risk of stent thrombosis. This review is focused on recent literature on this issue with a critical analysis and comparison to current recommendations of experts.
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Sumin A. N. Non-cardiac surgery after coronary stenting: Current view of the issue. Russian Heart Journal. 2014;78 (4):216–223

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