Perioperative in-stent thrombosis after lung resection performed within 3 months of coronary stenting.
Identifieur interne : 000673 ( Hal/Checkpoint ); précédent : 000672; suivant : 000674Perioperative in-stent thrombosis after lung resection performed within 3 months of coronary stenting.
Auteurs : Pierre-Yves Brichon [France] ; Philippe Boitet [France] ; Antoine Dujon [France] ; Jerôme Mouroux [France] ; Christophe Peillon [France] ; Marc Riquet [France] ; Jean-Francois Velly [France] ; Hans-Beat Ris [Suisse]Source :
- European Journal of Cardio-Thoracic Surgery [ 1010-7940 ] ; 2006-11.
Abstract
BACKGROUND: Incidence of perioperative in-stent thrombosis associated with myocardial infarction in patients undergoing major lung resection within 3 months of coronary stenting. METHODS: Retrospective multi-institutional trial including all patients undergoing major lung resection (lobectomy or pneumonectomy) within 3 months of coronary stenting with non-drug-eluting stents between 1999 and 2004. RESULTS: There were 32 patients (29 men and 3 women), with age ranging from 46 to 82 years. One, two or four coronary stents were deployed in 72%, 22% and 6% of the patients, respectively. The time intervals between stenting and lung surgery were <30 days, 30-60 days and 61-90 days in 22%, 53% and 25% of the patients, respectively. All patients had dual antiplatelet therapy after stenting. Perioperative medication consisted of heparin alone or heparin plus aspirin in 34% and 66% of the patients, respectively. Perioperative in-stent thrombosis with myocardial infarction occurred in three patients (9%) with fatal outcome in one (3%). Twenty patients underwent lung resection after 4 weeks of dual antiplatelet therapy as recommended by the ACC/AHA Guideline Update; however, two out of three perioperative in-stent thrombosis occurred in this group of patients. CONCLUSIONS: Major lung resection performed within 3 months of coronary stenting may be complicated by perioperative in-stent thrombosis despite 4 weeks of dual antiplatelet therapy after stenting as recommended by the ACC/AHA Guideline Update.
Url:
DOI: 10.1016/j.ejcts.2006.08.012
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sortKey="Velly, Jean Francois" sort="Velly, Jean Francois" uniqKey="Velly J" first="Jean-Francois" last="Velly">Jean-Francois Velly</name><affiliation wicri:level="1"><hal:affiliation type="laboratory" xml:id="struct-44335" status="VALID"><orgName>Service de chirurgie thoracique</orgName><desc><address><addrLine>Bordeaux</addrLine><country key="FR"></country></address></desc><listRelation><relation active="#struct-300122" type="direct"></relation></listRelation><tutelles><tutelle active="#struct-300122" type="direct"><org type="institution" xml:id="struct-300122" status="VALID"><orgName>CHU Bordeaux [Bordeaux]</orgName><desc><address><addrLine>place Amélie Raba Léon33076 BORDEAUX CEDEX</addrLine><country key="FR"></country></address><ref type="url">http://www.chu-bordeaux.fr/</ref></desc></org></tutelle></tutelles></hal:affiliation><country>France</country></affiliation></author><author><name sortKey="Ris, Hans Beat" sort="Ris, Hans Beat" uniqKey="Ris H" first="Hans-Beat" last="Ris">Hans-Beat Ris</name><affiliation wicri:level="1"><hal:affiliation type="laboratory" xml:id="struct-44336" status="INCOMING"><orgName>Service de Chirurgie thoracique</orgName><desc><address><addrLine>Lausanne</addrLine><country key="CH"></country></address></desc><listRelation><relation active="#struct-300124" type="direct"></relation></listRelation><tutelles><tutelle active="#struct-300124" type="direct"><org type="institution" xml:id="struct-300124" status="VALID"><orgName>CHU Vaudois</orgName><desc><address><country key="FR"></country></address></desc></org></tutelle></tutelles></hal:affiliation><country>Suisse</country></affiliation></author></analytic><idno type="DOI">10.1016/j.ejcts.2006.08.012</idno><series><title level="j">European Journal of Cardio-Thoracic Surgery</title><idno type="ISSN">1010-7940</idno><imprint><date type="datePub">2006-11</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">BACKGROUND: Incidence of perioperative in-stent thrombosis associated with myocardial infarction in patients undergoing major lung resection within 3 months of coronary stenting. METHODS: Retrospective multi-institutional trial including all patients undergoing major lung resection (lobectomy or pneumonectomy) within 3 months of coronary stenting with non-drug-eluting stents between 1999 and 2004. RESULTS: There were 32 patients (29 men and 3 women), with age ranging from 46 to 82 years. One, two or four coronary stents were deployed in 72%, 22% and 6% of the patients, respectively. The time intervals between stenting and lung surgery were <30 days, 30-60 days and 61-90 days in 22%, 53% and 25% of the patients, respectively. All patients had dual antiplatelet therapy after stenting. Perioperative medication consisted of heparin alone or heparin plus aspirin in 34% and 66% of the patients, respectively. Perioperative in-stent thrombosis with myocardial infarction occurred in three patients (9%) with fatal outcome in one (3%). Twenty patients underwent lung resection after 4 weeks of dual antiplatelet therapy as recommended by the ACC/AHA Guideline Update; however, two out of three perioperative in-stent thrombosis occurred in this group of patients. CONCLUSIONS: Major lung resection performed within 3 months of coronary stenting may be complicated by perioperative in-stent thrombosis despite 4 weeks of dual antiplatelet therapy after stenting as recommended by the ACC/AHA Guideline Update.</div></front></TEI><hal api="V3"><titleStmt><title xml:lang="en">Perioperative in-stent thrombosis after lung resection performed within 3 months of coronary stenting.</title><author role="aut"><persName><forename type="first">Pierre-Yves</forename><surname>Brichon</surname></persName><email></email><idno type="halauthor">209520</idno><affiliation ref="#struct-44329"></affiliation></author><author role="aut"><persName><forename type="first">Philippe</forename><surname>Boitet</surname></persName><email></email><idno type="halauthor">209521</idno><affiliation ref="#struct-44330"></affiliation></author><author role="aut"><persName><forename type="first">Antoine</forename><surname>Dujon</surname></persName><email></email><idno type="halauthor">209522</idno><affiliation ref="#struct-44331"></affiliation></author><author role="aut"><persName><forename type="first">Jerôme</forename><surname>Mouroux</surname></persName><email></email><idno type="halauthor">209523</idno><affiliation ref="#struct-44332"></affiliation></author><author role="aut"><persName><forename type="first">Christophe</forename><surname>Peillon</surname></persName><email></email><idno type="halauthor">209524</idno><affiliation ref="#struct-110057"></affiliation></author><author role="aut"><persName><forename type="first">Marc</forename><surname>Riquet</surname></persName><email></email><idno type="halauthor">209525</idno><affiliation ref="#struct-44334"></affiliation></author><author role="aut"><persName><forename type="first">Jean-Francois</forename><surname>Velly</surname></persName><email></email><idno type="halauthor">209526</idno><affiliation ref="#struct-44335"></affiliation></author><author role="crp"><persName><forename type="first">Hans-Beat</forename><surname>Ris</surname></persName><email>hans-beat.ris@chuv.ch</email><idno type="halauthor">209527</idno><affiliation ref="#struct-44336"></affiliation></author><editor role="depositor"><persName><forename>Danielle</forename><surname>Salas</surname></persName><email>Danielle.Salas@ujf-grenoble.fr</email></editor></titleStmt><editionStmt><edition n="v1" type="current"><date type="whenSubmitted">2007-09-18 17:49:36</date><date type="whenModified">2007-09-20 08:31:43</date><date type="whenReleased">2007-09-20 08:31:43</date><date type="whenProduced">2006-11</date></edition><respStmt><resp>contributor</resp><name key="120806"><persName><forename>Danielle</forename><surname>Salas</surname></persName><email>Danielle.Salas@ujf-grenoble.fr</email></name></respStmt></editionStmt><publicationStmt><distributor>CCSD</distributor><idno type="halId">inserm-00173099</idno><idno type="halUri">http://www.hal.inserm.fr/inserm-00173099</idno><idno type="halBibtex">brichon:inserm-00173099</idno><idno type="halRefHtml">European Journal of Cardio-Thoracic Surgery, Oxford University Press (OUP), 2006, 30 (5), pp.793-6. <10.1016/j.ejcts.2006.08.012></idno><idno type="halRef">European Journal of Cardio-Thoracic Surgery, Oxford University Press (OUP), 2006, 30 (5), pp.793-6. <10.1016/j.ejcts.2006.08.012></idno></publicationStmt><seriesStmt><idno type="stamp" n="INSERM">INSERM - Institut national de la santé et de la recherche médicale</idno></seriesStmt><notesStmt><note type="audience" n="1">Not set</note><note type="popular" n="0">No</note><note type="peer" n="1">Yes</note></notesStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Perioperative in-stent thrombosis after lung resection performed within 3 months of coronary stenting.</title><author role="aut"><persName><forename type="first">Pierre-Yves</forename><surname>Brichon</surname></persName><idno type="halAuthorId">209520</idno><affiliation ref="#struct-44329"></affiliation></author><author role="aut"><persName><forename type="first">Philippe</forename><surname>Boitet</surname></persName><idno type="halAuthorId">209521</idno><affiliation ref="#struct-44330"></affiliation></author><author role="aut"><persName><forename type="first">Antoine</forename><surname>Dujon</surname></persName><idno type="halAuthorId">209522</idno><affiliation ref="#struct-44331"></affiliation></author><author role="aut"><persName><forename type="first">Jerôme</forename><surname>Mouroux</surname></persName><idno type="halAuthorId">209523</idno><affiliation ref="#struct-44332"></affiliation></author><author role="aut"><persName><forename type="first">Christophe</forename><surname>Peillon</surname></persName><idno type="halAuthorId">209524</idno><affiliation ref="#struct-110057"></affiliation></author><author role="aut"><persName><forename type="first">Marc</forename><surname>Riquet</surname></persName><idno type="halAuthorId">209525</idno><affiliation ref="#struct-44334"></affiliation></author><author role="aut"><persName><forename type="first">Jean-Francois</forename><surname>Velly</surname></persName><idno type="halAuthorId">209526</idno><affiliation ref="#struct-44335"></affiliation></author><author role="crp"><persName><forename type="first">Hans-Beat</forename><surname>Ris</surname></persName><email>hans-beat.ris@chuv.ch</email><idno type="halAuthorId">209527</idno><affiliation ref="#struct-44336"></affiliation></author></analytic><monogr><idno type="halJournalId" status="VALID">13016</idno><idno type="issn">1010-7940</idno><title level="j">European Journal of Cardio-Thoracic Surgery</title><imprint><publisher>Oxford University Press (OUP)</publisher><biblScope unit="volume">30</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="pp">793-6</biblScope><date type="datePub">2006-11</date><date type="dateEpub">2006-09-22</date></imprint></monogr><idno type="doi">10.1016/j.ejcts.2006.08.012</idno><idno type="pubmed">16996274</idno></biblStruct></sourceDesc><profileDesc><langUsage><language ident="en">English</language></langUsage><textClass><classCode scheme="mesh">Aged</classCode><classCode scheme="mesh">Aged, 80 and over</classCode><classCode scheme="mesh">Middle Aged</classCode><classCode scheme="mesh">Platelet Aggregation Inhibitors</classCode><classCode scheme="mesh">Pneumonectomy</classCode><classCode scheme="mesh">Postoperative Care</classCode><classCode scheme="mesh">Postoperative Complications</classCode><classCode scheme="mesh">Postoperative Period</classCode><classCode scheme="mesh">Retrospective Studies</classCode><classCode scheme="mesh">Stents</classCode><classCode scheme="mesh">Carcinoma, Non-Small-Cell Lung</classCode><classCode scheme="mesh">Coronary Disease</classCode><classCode scheme="mesh">Coronary Thrombosis</classCode><classCode scheme="mesh">Drug Administration Schedule</classCode><classCode scheme="mesh">Female</classCode><classCode scheme="mesh">Humans</classCode><classCode scheme="mesh">Lung Neoplasms</classCode><classCode scheme="mesh">Male</classCode><classCode scheme="halDomain" n="sdv.can">Life Sciences [q-bio]/Cancer</classCode><classCode scheme="halTypology" n="ART">Journal articles</classCode></textClass><abstract xml:lang="en">BACKGROUND: Incidence of perioperative in-stent thrombosis associated with myocardial infarction in patients undergoing major lung resection within 3 months of coronary stenting. METHODS: Retrospective multi-institutional trial including all patients undergoing major lung resection (lobectomy or pneumonectomy) within 3 months of coronary stenting with non-drug-eluting stents between 1999 and 2004. RESULTS: There were 32 patients (29 men and 3 women), with age ranging from 46 to 82 years. One, two or four coronary stents were deployed in 72%, 22% and 6% of the patients, respectively. The time intervals between stenting and lung surgery were <30 days, 30-60 days and 61-90 days in 22%, 53% and 25% of the patients, respectively. All patients had dual antiplatelet therapy after stenting. Perioperative medication consisted of heparin alone or heparin plus aspirin in 34% and 66% of the patients, respectively. Perioperative in-stent thrombosis with myocardial infarction occurred in three patients (9%) with fatal outcome in one (3%). Twenty patients underwent lung resection after 4 weeks of dual antiplatelet therapy as recommended by the ACC/AHA Guideline Update; however, two out of three perioperative in-stent thrombosis occurred in this group of patients. CONCLUSIONS: Major lung resection performed within 3 months of coronary stenting may be complicated by perioperative in-stent thrombosis despite 4 weeks of dual antiplatelet therapy after stenting as recommended by the ACC/AHA Guideline Update.</abstract></profileDesc></hal></record>Pour manipuler ce document sous Unix (Dilib)
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