非心脏手术后同时发生的双冠状动脉极晚期支架血栓形成
Simultaneous dual coronary very late stent thrombosis following noncardiac surgery.
作者信息
Parikh Shailja V, Parikh Ashish, Brilakis Emmanouil S, Banerjee Subhash
机构信息
Division of Cardiovascular Diseases, VA North Texas Healthcare System, University of Texas Southwestern Medical Center, Dallas, TX 75216, USA.
出版信息
Cardiovasc Revasc Med. 2010 Jul-Sep;11(3):172-4. doi: 10.1016/j.carrev.2009.07.002.
Challenges arise in the care of patients with drug-eluting stents (DES) undergoing noncardiac surgery. The risk of bleeding during surgery must be balanced with the risk of stent thrombosis from interrupted dual antiplatelet therapy. We report a case of a patient with simultaneous stent thrombosis in two coronary arteries following discontinuation of clopidogrel for an elective noncardiac surgery 3 years after DES placement.
对于接受非心脏手术的药物洗脱支架（DES）患者，护理过程中会出现各种挑战。手术期间的出血风险必须与中断双联抗血小板治疗导致支架血栓形成的风险相权衡。我们报告了1例患者，在DES植入3年后因择期非心脏手术停用氯吡格雷后，两条冠状动脉同时发生支架血栓形成。
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