Cardiovascular anaesthesia: Edited by Stefan De HertAnaesthesia in patients with drug-eluting stentsMetzler, Helfrieda; Huber, Kurtb; Kozek-Langenecker, SibyllecAuthor Information aDepartment of Anaesthesiology and Intensive Care Medicine, Medical University of Graz, Graz, Austria bDepartment of Medicine, Cardiology and Emergency Medicine, Wilhelminenspital, Vienna, Austria cDepartment of Anaesthesiology and Intensive Care Medicine, Medical University of Vienna, Vienna, Austria Correspondence to Helfried Metzler, MD, Professor, Department of Anaesthesiology and Intensive Care Medicine, Medical University of Graz, Auenbruggerplatz 29, A-8036 Graz, Austria Tel: +43 316 385 4663; fax: +43 316 385 4664; e-mail: [email protected] Current Opinion in Anaesthesiology: February 2008 - Volume 21 - Issue 1 - p 55-59 doi: 10.1097/ACO.0b013e3282f357b6 Buy Metrics Abstract Purpose of review The management of patients with recent coronary artery stents presenting for noncardiac surgery has become a major topic of interest and concern for all perioperative caregivers. This review will update recent reports and particularly new guidelines as well as recommendations. Recent findings Based on the available literature all experts recommend avoiding premature discontinuation of antiplatelet drug therapy if possible except for a few surgical procedures. Drug-eluting stents obviously carry more risks than bare-metal stents. Summary Anaesthesiologists may understand the specific problem of drug-eluting stents, the recent debate among cardiologists and the implications for the perioperative scenario. © 2008 Lippincott Williams & Wilkins, Inc.