A 52-year-old man with chest pain and poor functional capacity is to undergo high-risk vascular surgery. He had a drug-eluting stent for stable angina...

Question

A 52-year-old man with chest pain and poor functional capacity is to undergo high-risk vascular surgery. He had a drug-eluting stent for stable angina 4 months ago. What is recommended regarding elective surgery timing?

Accepted Answer

Delay elective noncardiac surgery for at least 6 months after DES for chronic coronary disease

Answer

Proceed now; no delay needed after DES

Answer

Delay 30 days after DES

Answer

Delay 12 months for all DES

Answer

Proceed if on dual antiplatelet therapy regardless of timing

us-abim MCQ (SBA): Perioperative Stent Management

A 52-year-old man with chest pain and poor functional capacity is to undergo high-risk vascular surgery. He had a drug-eluting stent for stable angina 4 months ago. What is recommended regarding elective surgery timing?