Noncardiac Surgery in Patients with Recently Implanted Coronary Stents

Waiting at least 30 to 90 days after bare-metal stent placement or 1 year after drug-eluting stent placement was associated with lower risk for adverse coronary events.

Patients with recently implanted coronary stents who require noncardiac surgery are not uncommon. Small case series suggest that such patients are at high risk for perioperative cardiac events, including stent thrombosis. In two retrospective analyses, Mayo Clinic researchers calculated the rate of major cardiac events (death, myocardial infarction, stent thrombosis, or repeat coronary revascularization) among patients who underwent noncardiac surgery after coronary stenting.

Among 899 patients with bare-metal stents, the incidences of adverse cardiac events were 10%, 4%, and 3% when noncardiac surgery was performed 0 to 30 days, 31 to 90 days, and 91 to 365 days after stenting, respectively. The trend of decreasing risk over time was signif…

Reviewing Author

Allan S. Brett, MD

Disclosures

Nothing to disclose

Allan S. Brett, MD

Disclosures

Nothing to disclose