open access

Vol 67, No 12 (2009)
Other
Published online: 2009-12-30
Submitted: 2012-12-28
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Case report
Antiplatelet therapy and urgent surgical procedures. Acute appendicitis two days after stent implantation - a case report

Janusz Sielski, Paweł Wałek, Anna Polewczyk, Marianna Janion
Kardiol Pol 2009;67(12):1385-1388.

open access

Vol 67, No 12 (2009)
Other
Published online: 2009-12-30
Submitted: 2012-12-28

Abstract

Antiplatelet therapy has become a standard primary and secondary prophylaxis regiment in cardiology. Perioperative coronary stent thrombosis is a catastrophic complication that can occur in patients with both bare-metal or drug-eluting stents. The most important reason of this complication is discontinuation of antiplatelet treatment. Non-cardiac surgery increase the risk of stent thrombosis, especially when it is performed early after implantation of stent. Since antiplatelet therapy increases the risk of bleeding but decreases the risk of cardio-vascular events, it is very important to consider whether to stop or to continue this therapy. A case of 60-year-old male patient who underwent abdominal operation 2 days after bare-metal stent implantation is reported. Problems with correct treatment are discussed.

Abstract

Antiplatelet therapy has become a standard primary and secondary prophylaxis regiment in cardiology. Perioperative coronary stent thrombosis is a catastrophic complication that can occur in patients with both bare-metal or drug-eluting stents. The most important reason of this complication is discontinuation of antiplatelet treatment. Non-cardiac surgery increase the risk of stent thrombosis, especially when it is performed early after implantation of stent. Since antiplatelet therapy increases the risk of bleeding but decreases the risk of cardio-vascular events, it is very important to consider whether to stop or to continue this therapy. A case of 60-year-old male patient who underwent abdominal operation 2 days after bare-metal stent implantation is reported. Problems with correct treatment are discussed.
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Keywords

acute coronary syndrome; non-cardiac surgery; discontinuation of antiplatelet therapy; stent thrombosis; bleeding

About this article
Title

Case report
Antiplatelet therapy and urgent surgical procedures. Acute appendicitis two days after stent implantation - a case report

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 67, No 12 (2009)

Pages

1385-1388

Published online

2009-12-30

Bibliographic record

Kardiol Pol 2009;67(12):1385-1388.

Keywords

acute coronary syndrome
non-cardiac surgery
discontinuation of antiplatelet therapy
stent thrombosis
bleeding

Authors

Janusz Sielski
Paweł Wałek
Anna Polewczyk
Marianna Janion

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