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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Format: | Journal |
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Medical Journal of Malaysia, Malaysian Medical Association
2012
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Online Access: | http://www.myjurnal.my/public/article-view.php?id=58999 |
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. |
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