Coronary Stents and Subsequent Surgery: Reported Provider Attitudes and Practice Patterns:

摘要: Management of antiplatelet therapy in patients with cardiac stents who need subsequent surgery is complex. Current guidelines recommend delaying elective or, if emergent, proceeding without aspirin cessation. This study assessed provider knowledge, attitudes, and practices for needing surgery. A national survey was administered to Veterans Administration surgeons, anesthesiologists, cardiologists. Questions examined guideline awareness agreement, perceptions bleeding risk stent thrombosis, practice patterns management, experience perioperative thrombosis. Chi-square tests generalized estimating equations were used examine differences reported practices. Among 295 respondents, (92%) agreement (93%) high but higher among cardiologists anesthesiologists than surgeons. Guideline personal thrombosis also associated patterns. In adjusted models early surgeries, more likely report continuation dual as compared surgeons regardless type (drug-elutingP 5 0.03; bare metalP\0.01). Despite successful adoption, significant variations by found. Understanding reasons behind the variation outcomes various management strategies are important steps optimizing care coronary undergoing noncardiac