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BJA Advance Access originally published online on November 22, 2006
British Journal of Anaesthesia 2007 98(1):19-22; doi:10.1093/bja/ael318
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2006. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Successful management of patients with a drug-eluting coronary stent presenting for elective, non-cardiac surgery

L. Broad1, T. Lee1, M. Conroy1, S. Bolsin1,*, N. Orford2, A. Black3 and G. Birdsey4

1 Department of Perioperative Medicine, Anaesthesia & Pain Management, The Geelong Hospital, Barwon Health Ryrie Street, Geelong, Victoria 3220, Australia
2 Department of Intensive Care Medicine, The Geelong Hospital, Barwon Health Ryrie Street, Geelong, Victoria 3220, Australia
3 Department of Cardiology, The Geelong Hospital, Barwon Health Ryrie Street, Geelong, Victoria 3220, Australia
4 Pharmacy, The Geelong Hospital, Barwon Health Ryrie Street, Geelong, Victoria 3220, Australia

*Corresponding author. E-mail: steveb{at}barwonhealth.org.au

This paper describes the management of three patients for elective surgery with drug-eluting stents in the coronary circulation. The risks posed at the time of surgery by such patients include acute coronary syndromes, as a result of stent thrombosis, after cessation of anti-platelet therapy and excessive bleeding from continued anti-platelet therapy. We describe a regime for the management of such patients that successfully avoided these risks in three patients with paclitaxel drug-eluting stents requiring elective non-cardiac surgery.


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Response
Kuruvanka G Srinivas
British Journal of Anaesthesia, 19 Jan 2007 [Full text]
Anti Platelet Agents To Stop or Not Stop Pre-operatively.
sheshagiri Bengeri, et al.
British Journal of Anaesthesia, 5 Feb 2007 [Full text]
Successful management of patients with a drug-eluting coronary stent presenting for elective surgery
Stephen N Bolsin, et al.
British Journal of Anaesthesia, 15 Mar 2007 [Full text]
Re: Response
Stephen N Bolsin, et al.
British Journal of Anaesthesia, 15 Mar 2007 [Full text]

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