Non-cardiac surgery 2 weeks after percutaneous cardiac intervention.

摘要

Editor-A 52-yr-old male was admitted with a fractured tibial plateau. He had undergone percutaneous cardiac intervention (PCI) 3 days previously, and had stent insertion three times previously in the last 12 years for coronary artery disease (CAD). The patient's current medication included atenolol, atorvastatin, and oral hypoglycaemic drugs for type 2 diabetes. He was on oral aspirin and clopi-dogrel for anticoagulation. His ECG showed only left axis deviation and no evidence of ischaemia. The cardiologist advised continuation of the antiplatelet drugs because of the high risk of thrombosis of the stent due to epithelization up to 6 weeks. An echocardiogram showed an ejection fraction of 60% with no regional wall motion abnormalities. Surgery was planned for 11 days later with continued cover of aspirin and clopidogrel, under general anaesthesia,