Perioperative very late stent thrombosis treated with thrombosuction

With widespread use of Drug Eluting Stents (DES), perioperative dual antiplatelet issues are becoming more frequent. The risk of perioperative bleeding needs to be balanced against the devastating complication of stent thrombosis since mortality rates for stent thrombosis range from 20% to 45%1. Usu...

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Bibliographic Details
Main Author: Tuan Norhafizah binti Tuan Zakaria
Other Authors: Sikdar, S.
Format: Journal
Published: Medical Journal of Malaysia, Malaysian Medical Association 2012
Subjects:
Online Access:http://www.myjurnal.my/public/article-view.php?id=58999
Description
Summary:With widespread use of Drug Eluting Stents (DES), perioperative dual antiplatelet issues are becoming more frequent. The risk of perioperative bleeding needs to be balanced against the devastating complication of stent thrombosis since mortality rates for stent thrombosis range from 20% to 45%1. Usually these issues are a concern within the first year after stent implantation . We report a case where perioperative withdrawl of dual antiplatelets prior to a non-cardiac surgery lead to stent thrombosis and cardiogenic shock, five years post implantation.