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Risks Rise for Other Surgeries After Stent Implants
Date:5/5/2010

ts have been debated for years, Hogue said. "The guidelines set antiplatelet therapy for a year or maybe indefinitely," he said. "If you stop, you run the risk of stenosis [artery blockage]. But what happens if you have a tendency to bleed? That can cause all kinds of problems, particularly for the brain or the eye."

Use of clot-preventing medication has to be decided patient by patient, Hogue said. "You have to judge risk vs. benefit on an individual basis," he said. "This is a big public health issue because a lot of stents are being implanted."

About 1.3 million artery-opening procedures are performed annually in the United States, Hogue said.

The Scottish study is the largest done to date on the effects of surgery after stent implants, Cruden said. The study shows a 50 percent increase in the risk for bleeding in such cases but no impact on surgical mortality, he said.

More information

The American Heart Association has more on stents.



SOURCES: Nicholas L. M. Cruden, Ph.D., consultant, National Health Service, Glasgow, Scotland; Charles W. Hogue Jr., M.D., associate professor, anesthesiology, Johns Hopkins University School of Medicine, Baltimore; May 4, 2010, Circulation: Cardiovascular Interventions, online


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