Non-Cardiac Surgery After Percutaneous Coronary Interventions

Abstract

In accordance with the trend of the world, the treatment with coronary intervention has become widespread in our country. With improvement in life standards, the average life expectancy has also increased. Non-cardiac surgery was performed in approximately 5 % of the patients who underwent percutaneous coronary interventions. The timing of non-cardiac surgery is well-defined in cases of bare metal stents which are most widely used in percutaneous coronary interventions. Unfortunately, we still do not know the optimal timing for surgery in cases of drug-eluting stents which are increasingly preferred for lesser restenosis. The stent-implanted patients have always been challenges for various surgeons. We tried to review the timing for non-cardiac surgeries, surgical techniques and stent-related problems in these patients.

Özet

Perkütan koroner girflimler ile tedavi dünyada oldu¤u gibi ülkemizde de yaygnlaflmfltr. Toplulumuzun yaflam flartlarnn iyileflmesi ile yafl ortalamas yükselmifltir. Perkütan koroner tedavi yaplan hastalarn yaklaflk olarak yüzde befline kalp dfl cerrahi gerekmektedir. Perkütan koroner tedavide yaygn olarak kulland¤mz bare metal stentlerde kalp dfl cerrahi zaman netleflmifltir. Restenoz oran ilaç salnml stentler ile önemli oranda çözülmüflken bu hastalarda optimal kalp dfl cerrahi zaman belli de¤ildir. Koroner arter problemlerini stentler ile çözüme ulafltrlan hastalar kardiyovasküler cerrahlar dflndaki cerrahlar tarafndan her zaman önemli problem olarak görülmektedirler. Bu hastalarda kalp dfl cerrahi zamanlar,cerrahi teknikleri ve stentler ile ilgili problemleri gözden geçirdik.