Percutaneous coronary intervention before noncardiac surgery: more threat than benefit?

[...]an antithrombotic regimen effective in the nonsurgical setting may not be effective to prevent stent thrombosis, but it may be sufficient to cause major surgical bleeding. [...]data are available, NCS following PCI should be deferred whenever possible for at least four weeks, allowing the compl...

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Bibliographic Details
Published in:Journal of the American College of Cardiology 2004-02, Vol.43 (4), p.713-714
Main Authors: Mendoza, Cesar E, Shah, Neerav, Virani, Salim
Format: Article
Language:English
Subjects:
Angioplasty
Angioplasty, Balloon, Coronary
Cardiology
Coronary Stenosis - therapy
Drug therapy
Humans
Mortality
Platelet Aggregation Inhibitors - therapeutic use
Stents
Studies
Surgery
Surgical Procedures, Operative - adverse effects
Thrombosis
Thrombosis - etiology
Time Factors
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Summary:[...]an antithrombotic regimen effective in the nonsurgical setting may not be effective to prevent stent thrombosis, but it may be sufficient to cause major surgical bleeding. [...]data are available, NCS following PCI should be deferred whenever possible for at least four weeks, allowing the completion of currently recommended antiplatelet therapy to prevent the thrombotic complications associated with PCI.
ISSN:0735-1097
1558-3597
DOI:10.1016/j.jacc.2003.12.001