Interv Akut Kardiol. 2009;8(2):88-91

PCI prior to noncardiac operation (with emphasis on stenting)

Vladimír Rozsíval

Kardio-Troll, pracoviště invazivní kardiologie, Krajská nemocnice, Pardubice

Perioperative myocardial infarction is a feared complication of noncardiac operations. Preoperative cardiological evaluation commonly

results in coronarography and stent implantation, and/or surgical revascularization simply because of the fact that a noncardiac operation

is safer provided that a previous revascularization has been performed. However, surgical revascularization confers some mortality

and morbidity risk, and a stent thrombosis in the perioperative period may have disastrous consequences. The paper discusses

how to avoid stent thrombosis – not to revascularize, to perform PCI without a stent, to postpone the operation, not to discontinue dual

antiplatelet therapy, and to select the right stent. It is imperative to improve the communication and coordination of those involved.

Recommendations on how to restore stent patency in the perioperative period are included.

Keywords: percutaneous coronary intervention, stents, noncardiac surgery.

Published: May 1, 2009  Show citation