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

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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.

blood, coagulation
heart, coronary occlusion
surgery, preoperative period

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