special subjects
Perioperative Management
Anticoagulants and antiplatelets
 or dual antiplatelet therapy, increases the risk of coronary tent thrombosis, which may be fatal. This risk may outweigh the risk of surgical bleeding, and decisions regarding management of single or dual-agent regimens should be individualized with input from a multidisciplinary team. Factors to consider include the type of stent (bare or drug-eluting), time since placement, type of surgery, and whether an elective procedure can be postponed until periods of increased risk have passed ( Reference ). (called bridging anticoagulation—see Deep Venous Thrombosis (DVT) ). Because it takes up to 5 days for 