By Ian Johnston, William Harrop-Griffiths, Leslie Gemmell
Based at the organization of Anesthetists of serious Britain and Ireland's (AAGBI) carrying on with schooling lecture sequence, this clinical-oriented e-book covers the most recent advancements in examine and the scientific program to anesthesia and soreness control.
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No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by the UK Copyright, Designs and Patents Act 1988, without the prior permission of the publisher. Designations used by companies to distinguish their products are often claimed as trademarks. All brand names and product names used in this book are trade names, service marks, trademarks or registered trademarks of their respective owners.
2 Characteristics of drug-eluting and bare metal stents. 6% per year Cost per stent ∼£120 ∼£330 The risks of late stent thrombosis lead cardiologists to avoid the use of drug-eluting stents in proximal lesions, for which stent thrombosis is more likely to be fatal, or in large vessels in which a degree of restenosis is less likely to be clinically relevant. A recent study has demonstrated little clinical difference between bare metal and drug-eluting stents in this clinical situation, although this remains an area of emerging evidence .
While there has been a recent plateau in activity, the total number of patients with coronary artery stents in place continues to increase. The development of newer and more complex antiplatelet drug therapy regimens and the risk of acute stent thrombosis in these patients at the time of noncardiac surgery makes this a challenging area for cardiologist, anaesthetist, surgeon and patient . Percutaneous coronary interventions The development of coronary angioplasty in the late 1970s heralded a new era in the treatment of coronary artery disease.