Mesh ： Adult Advisory Committees Alabama Anesthesiology Aspirin / administration & dosage adverse effects Blood Loss, Surgical / prevention & control Cardiac Catheterization Cardiology Clopidogrel Consensus Coronary Vessels Cross-Sectional Studies Decision Making Decision Support Techniques Female General Surgery Health Care Surveys Humans Male Middle Aged Myocardial Ischemia / prevention & control Perioperative Care / methods Perioperative Period Physicians / statistics & numerical data Platelet Aggregation Inhibitors / administration & dosage adverse effects Primary Health Care Risk Factors Sampling Studies Stents / adverse effects Surveys and Questionnaires Thrombosis / etiology prevention & control Ticlopidine / administration & dosage adverse effects analogs & derivatives Workforce

来  源：   DOI：10.1016/j.amjsurg.2012.02.012   PDF(Sci-hub)

Abstract：
BACKGROUND: The perioperative management of patients with a coronary artery stent is a major patient safety issue currently confronting clinicians. Surgery on a patient on antiplatelet therapy creates the following dilemma: is it better to withdraw the drugs and reduce the hemorrhagic risk or to maintain them and reduce the risk of a myocardial ischemic event?
METHODS: An electronic survey was used to sample a cross-section of local clinicians regarding the perioperative management of patients with an indwelling coronary artery stent. The reiterative Consensus-Oriented Decision-Making model was applied by an institutional task force with representation from anesthesiology, cardiology, primary care medicine, and surgery.
RESULTS: Significant disagreement existed among the multidisciplinary survey respondents regarding various aspects of the perioperative management of patients with indwelling coronary artery stents.
CONCLUSIONS: We clarified the perioperative risk factors for coronary stent thrombosis and an alternate process for immediate access to a cardiac catheterization laboratory at our institution.
摘要：
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