2025, Vol. 8, Issue 1, Part A
Peripheral nerve block as a sole anesthetic technique in a patient with a recent history of coronary stenting: A Case Report
Author(s): Shreya Panda, Vandana Gogate and Mahantesh S Mudakangoudar
Abstract: Anesthesiologists often encounter patients who have recently undergone coronary artery stent implantation and are receiving dual antiplatelet therapy. Performing non-cardiac surgeries or invasive procedures shortly after stent placement heightens the risk of stent thrombosis, particularly if the intervention occurs soon after the procedure. This situation presents a clinical dilemma: whether to discontinue antiplatelet therapy to reduce bleeding risk or to maintain it to prevent perioperative stent thrombosis. An individualized management strategy is essential, incorporating the following key considerations: (i) assess patient history and stent details, including the date of stent placement, the type of stent (e.g., bare-metal or drug-eluting), and any procedural complication encountered (ii) evaluate stent-related risks(iii)collaborative decision making approach -decisions regarding surgical timing and adjustments to antiplatelet therapy, including continuation, modification, or temporary discontinuation, should be made through a multidisciplinary discussion. This collaborative and individualized approach is essential for optimizing patient safety and surgical outcomes. 1
DOI: 10.33545/26643766.2025.v8.i1a.544
Pages: 32-34 | Views: 79 | Downloads: 45
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How to cite this article:
Shreya Panda, Vandana Gogate, Mahantesh S Mudakangoudar. Peripheral nerve block as a sole anesthetic technique in a patient with a recent history of coronary stenting: A Case Report . Int J Med Anesthesiology 2025;8(1):32-34. DOI: 10.33545/26643766.2025.v8.i1a.544
