Non-Cardiac Surgery After Percutaneous Coronary Interventions

Year 2009, Volume: 12 Issue: 1, 39 - 45, 01.01.2008

Yunus Emiro¤lu Selçuk Pala Bilal Boztosun

Abstract

In accordance with the trend of the world, the treatment with coronary intervention has become widespread in our country. With improvement in life standards, the average life expectancy has also increased. Non-cardiac surgery was performed in approximately 5 % of the patients who underwent percutaneous coronary interventions. The timing of non-cardiac surgery is well-defined in cases of bare metal stents which are most widely used in percutaneous coronary interventions. Unfortunately, we still do not know the optimal timing for surgery in cases of drug-eluting stents which are increasingly preferred for lesser restenosis. The stent-implanted patients have always been challenges for various surgeons. We tried to review the timing for non-cardiac surgeries, surgical techniques and stent-related problems in these patients.

Keywords

Percutaneous coronary intervention, stenting, clopidogrel, non cardiac surgery

Perkütan Koroner Giriflim Sonras› Kalp D›fl› Cerrahi

Abstract

Perkütan koroner girflimler ile tedavi dünyada oldu¤u gibi ülkemizde de yayg›nlaflm›flt›r. Toplulumuzun yaflam flartlar›n›n iyileflmesi ile yafl ortalamas› yükselmifltir. Perkütan koroner tedavi yap›lan hastalar›n yaklafl›k olarak yüzde befline kalp d›fl› cerrahi gerekmektedir. Perkütan koroner tedavide yayg›n olarak kulland›¤›m›z bare metal stentlerde kalp d›fl› cerrahi zaman› netleflmifltir. Restenoz oran› ilaç sal›n›ml› stentler ile önemli oranda çözülmüflken bu hastalarda optimal kalp d›fl› cerrahi zaman› belli de¤ildir. Koroner arter problemlerini stentler ile çözüme ulaflt›r›lan hastalar kardiyovasküler cerrahlar d›fl›ndaki cerrahlar taraf›ndan her zaman önemli problem olarak görülmektedirler. Bu hastalarda kalp d›fl› cerrahi zamanlar›,cerrahi teknikleri ve stentler ile ilgili problemleri gözden geçirdik.

Keywords

Perkütan koroner giriflim, stentleme, klopidogrel, kalp d›fl› cerrahi

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