A 63-year-old man with a 6-week history after DES requires elective high-bleeding-risk surgery. Which antiplatelet management is correct if surgery ca...

Question

A 63-year-old man with a 6-week history after DES requires elective high-bleeding-risk surgery. Which antiplatelet management is correct if surgery cannot be delayed?

Accepted Answer

If P2Y12 interruption is unavoidable, stop clopidogrel ~5 days pre-op (continue aspirin if possible)

Answer

Stop aspirin and continue clopidogrel

Answer

Stop clopidogrel the day before

Answer

Bridge with heparin for antiplatelet effect

Answer

Stop ticagrelor 7 days prior

us-abim MCQ (SBA): Perioperative Antiplatelet Management

A 63-year-old man with a 6-week history after DES requires elective high-bleeding-risk surgery. Which antiplatelet management is correct if surgery cannot be delayed?