Brilakis Emmanouil S, Banerjee Subhash, Berger Peter B
Dallas VA Medical Center, Dallas, TX 75216, USA.
Curr Cardiol Rep. 2007 Sep;9(5):406-11. doi: 10.1007/BF02938368.
Patients in whom any kind of stent, particularly a drug-eluting stent (DES), was recently implanted are at risk for stent thrombosis when they undergo noncardiac surgery, even months or years after their implantation. The risk of DES thrombosis is likely decreased by delaying noncardiac surgery for as long as possible and continuing dual or at least single antiplatelet therapy in the perioperative period. Preoperative identification and close monitoring of patients with DES may allow prevention and prompt detection and treatment of this catastrophic complication.
近期植入任何类型支架（尤其是药物洗脱支架[DES]）的患者，在接受非心脏手术时存在支架血栓形成的风险，即使在植入数月或数年之后。尽可能推迟非心脏手术并在围手术期持续进行双联或至少单联抗血小板治疗，可能会降低DES血栓形成的风险。术前识别并密切监测DES患者，可能有助于预防、及时发现并治疗这种灾难性并发症。
