A 62-year-old had a drug-eluting coronary stent 1 month ago and is on aspirin + clopidogrel. He now seeks elective noncardiac hernia repair. Best plan...

Question

A 62-year-old had a drug-eluting coronary stent 1 month ago and is on aspirin + clopidogrel. He now seeks elective noncardiac hernia repair. Best plan per current guidance?

Accepted Answer

Defer elective surgery until at least 3 months after DES (preferably 6 months)

Answer

Stop all antiplatelets now and proceed

Answer

Proceed now while continuing DAPT

Answer

Switch to warfarin for perioperative bridging

Answer

Stop clopidogrel and continue aspirin immediately

us-abim MCQ (SBA): Perioperative Antiplatelet Management

A 62-year-old had a drug-eluting coronary stent 1 month ago and is on aspirin + clopidogrel. He now seeks elective noncardiac hernia repair. Best plan per current guidance?