Stent-related cardiac events after non-cardiac surgery: Drug-eluting stent vs. bare metal stent

Abstract For evaluation of post-operative stent associated cardiac events after drug-eluting stent (DES) implantation we analyzed data of 138 patients who underwent non-cardiac surgery after DES implantation and compared the data with those of 101 patients who underwent non-cardiac surgery after bar...

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Bibliographic Details
Published in:International journal of cardiology 2008-01, Vol.123 (3), p.353-354
Main Authors: Kim, Hack-Lyoung, Park, Kyung-Woo, Kwak, Jae-Jin, Kim, Yong-Seok, Sir, Jung-Ju, Lee, Sook-Jin, Lee, Hae-Young, Chang, Hyuk-Jae, Kang, Hyun-Jae, Cho, Young-Seok, Chung, Woo-Young, Chae, In-Ho, Choi, Dong-Joo, Kim, Hyo-Soo, Oh, Byung-Hee, Park, Young-Bae, Koo, Bon-Kwon
Format: Article
Language:English
Subjects:
Aged
Angioplasty, Balloon, Coronary - adverse effects
Angioplasty, Balloon, Coronary - methods
Cardiovascular
Coronary Restenosis - epidemiology
Coronary Restenosis - etiology
Coronary Thrombosis - epidemiology
Coronary Thrombosis - etiology
Drug-Eluting Stents - adverse effects
Female
Follow-Up Studies
Humans
Incidence
Male
Metals
Middle Aged
Myocardial Infarction - epidemiology
Myocardial Infarction - etiology
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Probability
Prosthesis Failure
Retrospective Studies
Risk Assessment
Stent
Stents - adverse effects
Surgery
Surgical Procedures, Operative - adverse effects
Surgical Procedures, Operative - methods
Thrombosis
Time Factors
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Summary:Abstract For evaluation of post-operative stent associated cardiac events after drug-eluting stent (DES) implantation we analyzed data of 138 patients who underwent non-cardiac surgery after DES implantation and compared the data with those of 101 patients who underwent non-cardiac surgery after bare metal stent (BMS) implantation. Three patients (2.2%) in DES group developed post-operative cardiac events and none in BMS group ( p = 0.2). One patient died due to suspected stent thrombosis and the other two had myocardial infarction due to angiographically proven stent thrombosis. The time interval between stent implantation and surgery in those with cardiac events was 6, 264, and 367 days, respectively. Our data shows that peri-operative stent-related thrombotic complications can occur long after DES implantation and careful peri-operative monitoring for cardiac events is needed in patients receiving non-cardiac surgery after DES implantation.
ISSN:0167-5273
1874-1754
DOI:10.1016/j.ijcard.2006.11.182