Volume 82, Issue 7 pp. 1108-1112
Coronary Artery Disease

A Case of in-stent thrombosis in a patient with drug eluting stents during perioperative management with glycoprotein IIb/IIIa inhibitors

Manmeet Singh MD

Corresponding Author

Manmeet Singh MD

Division Cardiology, Department of Internal Medicine, University of California San Francisco, MEP Fresno, Fresno, California

Correspondence to: Manmeet Singh, Division Cardiology, Department of Internal Medicine, University of California San Francisco, MEP Fresno,155th N Fresno Street, Fresno, CA-93711. E-mail: [email protected] and [email protected]Search for more papers by this author
Vema H. Bolla MD

Vema H. Bolla MD

Division Cardiology, Department of Internal Medicine, University of California San Francisco, MEP Fresno, Fresno, California

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Ryan Berg MD

Ryan Berg MD

Division Cardiology, Department of Internal Medicine, University of California San Francisco, MEP Fresno, Fresno, California

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First published: 04 February 2013
Citations: 1

Conflict of interest: Nothing to report.

Abstract

The management of patients with drug eluting stents (DES) who require early surgical intervention prior to the completion of antiplatelet therapy is challenging. Available literature suggests that bridging these high risk patients with glycoprotein IIb/IIIa (g2b3a) inhibitors could be efficacious in preventing stent thrombosis (Ben Morrison et al., Catheter Cardiovasc Interv 2012;79;575–582). However, this still remains to be proven in larger prospective studies. We report a case of stent thrombosis in a patient with DES planned for neurosurgery while on bridging g2b3a inhibitors therapy in the perioperative period. © 2013 Wiley Periodicals, Inc.

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