The New York State Society of
Anesthesiologists, Inc.


Perioperative Management of Anticoagulation in Patients with Coronary Stents

6/13/2012

 
The perioperative management of anticoagulation in patients with coronary stents depends on the type of stent placed:

Bare Metal Stents:
< 30 days Defer elective surgery
> 30 days Proceed to operating room with aspirin

The decision to stop the aspirin should be made based on the risk of surgical bleeding vs. risk of thrombosis.

Drug Eluting Stents:
< 365 days Defer elective surgery
> 365 days Proceed to operating room with aspirin

The decision to stop the aspirin should be made based on the risk of surgical bleeding vs. risk of thrombosis.


For full details see: ACC/AHA 2007 Guidelines on Perioperative Cardiovascular Evaluation and Care for Non-Cardiac Surgery Circulation 2007;116:e418-500