Perioperative in-stent thrombosis after lung resection performed within 3 months of coronary stenting

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Serval ID
serval:BIB_3A94A904D706
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Perioperative in-stent thrombosis after lung resection performed within 3 months of coronary stenting
Journal
European Journal of Cardio-Thoracic Surgery
Author(s)
Brichon  P. Y., Boitet  P., Dujon  A., Mouroux  J., Peillon  C., Riquet  M., Velly  J. F., Ris  H. B.
ISSN
1010-7940 (Print)
Publication state
Published
Issued date
11/2006
Volume
30
Number
5
Pages
793-6
Notes
Journal Article
Multicenter Study --- Old url value: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=16996274 --- Old month value: Nov
Abstract
BACKGROUND: Incidence of perioperative in-stent thrombosis associated with myocardial infarction in patients undergoing major lung resection within 3 months of coronary stenting. METHODS: Retrospective multi-institutional trial including all patients undergoing major lung resection (lobectomy or pneumonectomy) within 3 months of coronary stenting with non-drug-eluting stents between 1999 and 2004. RESULTS: There were 32 patients (29 men and 3 women), with age ranging from 46 to 82 years. One, two or four coronary stents were deployed in 72%, 22% and 6% of the patients, respectively. The time intervals between stenting and lung surgery were <30 days, 30-60 days and 61-90 days in 22%, 53% and 25% of the patients, respectively. All patients had dual antiplatelet therapy after stenting. Perioperative medication consisted of heparin alone or heparin plus aspirin in 34% and 66% of the patients, respectively. Perioperative in-stent thrombosis with myocardial infarction occurred in three patients (9%) with fatal outcome in one (3%). Twenty patients underwent lung resection after 4 weeks of dual antiplatelet therapy as recommended by the ACC/AHA Guideline Update; however, two out of three perioperative in-stent thrombosis occurred in this group of patients. CONCLUSIONS: Major lung resection performed within 3 months of coronary stenting may be complicated by perioperative in-stent thrombosis despite 4 weeks of dual antiplatelet therapy after stenting as recommended by the ACC/AHA Guideline Update.
Keywords
Aged Aged, 80 and over Carcinoma, Non-Small-Cell Lung/surgery Coronary Disease/*surgery Coronary Thrombosis/*etiology/prevention & control Drug Administration Schedule Female Humans Lung Neoplasms/surgery Male Middle Aged Platelet Aggregation Inhibitors/administration & dosage *Pneumonectomy Postoperative Care/methods *Postoperative Complications Postoperative Period Retrospective Studies *Stents
Pubmed
Web of science
Open Access
Yes
Create date
29/01/2008 12:59
Last modification date
25/09/2019 6:08
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