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Updated: Oct 2, 2026

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
10:28

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function

Published on: March 15, 2022

[Coronary arterial stent implantation proceeding noncardiac surgical procedures. Is it safe; can we recommend it?]

M N Vicenzi1, E L Mahla, A Fuchs

  • 1Universitätsklinik für Anästhesiologie und Intensivmedizin, LKH, Auenbruggerplatz 29, 8036 Graz, Osterreich. martin-vicenzi@kfunigraz.ac.at

Der Anaesthesist
|February 5, 2002
PubMed

Insights

Patients with coronary artery stents undergoing non-cardiac surgery face high risks of heart attack and bleeding. Careful anesthetic management, including invasive monitoring and cardiac assessment, is crucial for patient safety.

Area of Science:

  • Cardiology
  • Anesthesiology
  • Cardiovascular Surgery

Context:

  • Patients with coronary artery stents are considered high-risk for non-cardiac surgical procedures.
  • Perioperative myocardial infarction and severe bleeding are significant potential complications.

Purpose:

  • To outline the necessary precautions and management strategies for high-risk patients undergoing non-cardiac surgery.

Summary:

  • Anesthetic management should involve invasive monitoring, electrocardiogram (ECG) ST analysis, and transesophageal echocardiography.
  • Intensive care unit referral is often justified.
  • Preoperative discussion regarding surgical urgency, perioperative risk, and antiplatelet therapy is essential.

Impact:

  • Ensures optimal patient care and risk mitigation for individuals with coronary artery stents undergoing surgery.
  • Highlights the importance of multidisciplinary collaboration between surgeons, anesthesiologists, and cardiologists.

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