• Ulus Travma Acil Cer · Mar 2021

    Case Reports

    All in one: Multiple coronary stents, history of stent thrombosis, pancreatic carcinoma, postoperative bleeding and thrombocytosis.

    • Aslı Demir, Seda Ilhan, Eda Balcı, Oğuzhan Pınar, and Ayşegül Özgök.
    • Department of Anesthesiology, Ankara City Hospital, Ankara-Turkey.
    • Ulus Travma Acil Cer. 2021 Mar 1; 27 (2): 268270268-270.

    AbstractAlthough the management of a stent patient may appear in the guidelines, some patients may be unique and out of class. In this presentation, the patient had multiple thrombotic risk factors for perioperative myocardial injury. These factors included coronary artery disease with multiple implantations of drug-eluting stent (DES), stent thrombosis history, implantation of a new stent 11months ago and hypercoagulability (due to malignancy and surgical procedure). The patient's history of DES presented a dilemma for the anesthesiology, surgery, and cardiology teams in considering the optimal method to minimize the risk of perioperative bleeding and stent re-thrombosis.

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