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.
Click here for more information (2012 PGA - Scientific Panel 10)
Click here for more information (2012 PGA - Focus Session 28)
Click here for more information (2012 PGA - PBLD 3)
Click here for more information (2012 PGA - PBLD 11)
Click here for more information (2012 PGA - PBLD 20)
Click here for more information (2012 PGA - PBLD 39)
For full details see: ACC/AHA 2007 Guidelines on Perioperative Cardiovascular Evaluation and Care for Non-Cardiac Surgery Circulation 2007;116:e418-500