Risks of non-cardiac surgery early after percutaneous coronary intervention
American Heart Journal Jul 29, 2019
Smilowitz NR, et al. - Researchers examined an extensive cohort of patients who underwent percutaneous coronary intervention (PCI) in the United States, to examine the rate of early hospital readmission for non-cardiac surgery (NCS) as well as associated consequences. They identified the participants from the Nationwide Readmission Database. Those who sought readmission for NCS within 6 months of PCI were selected. In-hospital mortality, myocardial infarction (MI), and bleeding defined by ICD-9 codes were assessed as outcomes. They found that among patients with recent PCI, NCS was performed in 1 of every 29 patients, corresponding to as many as ~30,000 patients per year nationwide, this scenario was encountered despite clear guidelines to avoid surgery early post-PCI. In this setting, high surgical mortality and perioperative MI were documented. The necessity for approaches to reduce perioperative thrombotic and bleeding risks during readmission for NCS post-PCI was emphasized.
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