Stents coronarios y cirugía no cardiaca: estrategias de manejo actual

• Paulo Carrasco G ^[1] ; Rodrigo López B ^[1] ; Guillermo Lema F ^[1]
  1. [1] Pontificia Universidad Católica de Chile

     Pontificia Universidad Católica de Chile

     Santiago, Chile

     
• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 139, Nº. 6, 2011, págs. 787-793
• Idioma: español
• Títulos paralelos:
  • Coronary stents and non-cardiac surgery: current management strategies
• Enlaces
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• Resumen

  • The care of patients with coronary stents in the perioperative period of non-cardiac surgery requires anesthesiologists, surgeons and cardiologists. The management of dual antiplatelet therapy should be handled depending on type and urgency of the surgery, the risk of bleeding, type of coronary stent implanted, time from placement and the risk of stent thrombosis. For patients identified as high risk of stent thrombosis, surgery should be planned at hospitals with cardiac catheterization facilities. These patients require postoperative monitoring and antiplatelet therapy should be restarted immediately. Stent thrombosis should be recognized early and treated aggressively with percutaneous coronary intervention.