The Avantgarde Carbostent in Patients Scheduled for Undelayable Noncardiac Surgery
Joint Authors
Visconti, Gabriella
Focaccio, Amelia
De Micco, Francesca
Briguori, Carlo
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-02-19
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
Treatment of patients who need coronary revascularization before undelayable non-cardiac surgery is challenging.
Methods.
We assessed the safety and efficacy of percutaneous coronary interventions (PCI) using the Avantgarde TM Carbostent (CID, Italy) in patients undergoing PCI before undelayable non-cardiac surgery.
The Multiplate analyzer point-of-care was used to assess residual platelet reactivity.
One major cardiac events (MACE, defined as death, myocardial infarction, and stent thrombosis and major bleeding) were assessed.
Results.
42 consecutive patients were analyzed.
Total stent length ≥25 mm was observed in 16 (37%) patients.
Multivessel stenting was performed in 11 (31.5%) patients.
Clopidogrel was interrupted 5 days before surgery in 35 patients, whereas it was stopped the day of the surgery in 7 patients.
Surgery was performed after 27±9 (7–42) days from PCI.
MACE occurred in one patient (2.4%; 95% confidence interval: 0.01–13%), who had fatal acute myocardial infarction 3 days after abdominal aortic aneurysm surgery and 12 days after stent implantation.
No case of major bleeding in the postoperative phase was observed.
Conclusions.
The present pilot study suggests that, although at least 10–14 days of dual antiplatelet therapy remain mandatory, the Avantgarde TM stent seems to have a role in patients requiring undelayable surgery.
American Psychological Association (APA)
Briguori, Carlo& Visconti, Gabriella& De Micco, Francesca& Focaccio, Amelia. 2012. The Avantgarde Carbostent in Patients Scheduled for Undelayable Noncardiac Surgery. Thrombosis،Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-466843
Modern Language Association (MLA)
Briguori, Carlo…[et al.]. The Avantgarde Carbostent in Patients Scheduled for Undelayable Noncardiac Surgery. Thrombosis No. 2012 (2012), pp.1-6.
https://search.emarefa.net/detail/BIM-466843
American Medical Association (AMA)
Briguori, Carlo& Visconti, Gabriella& De Micco, Francesca& Focaccio, Amelia. The Avantgarde Carbostent in Patients Scheduled for Undelayable Noncardiac Surgery. Thrombosis. 2012. Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-466843
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-466843