کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
2763805 | 1150766 | 2007 | 11 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: A tale of two stents: perioperative management of patients with drug-eluting coronary stents A tale of two stents: perioperative management of patients with drug-eluting coronary stents](/preview/png/2763805.png)
Drug-eluting stents were introduced into clinical practice to decrease coronary stent restenosis rates. Though remarkably effective in reducing this complication, recent data reveal that drug-eluting stents pose a significant risk for late stent thrombosis, an event strongly correlated with discontinuation of anti-platelet therapy. Because anti-platelet agents are often discontinued perioperatively, patients with DES are at risk for perioperative stent thrombosis and myocardial infarction. Along with a review of the recent literature, we present two cases of patients with drug-eluting stents scheduled for renal transplantation. Two distinct antithrombotic management strategies illustrate the risk of either approach—bleeding and transfusion versus stent thrombosis and myocardial infarction.
Journal: Journal of Clinical Anesthesia - Volume 19, Issue 5, August 2007, Pages 386–396