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Surgical Algorithm for Bleeding Risk Management

This algorithm guides decision-making for patients at high risk of bleeding during surgery. Assess the need for Bare Metal Stent placement and duration of dual antiplatelet therapy for Drug-Eluting Stent patients. Monitor antiplatelet therapy weaning carefully. Proceed without delay for low bleeding risk cases.

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Surgical Algorithm for Bleeding Risk Management

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  1. A Possible Algorithm for Surgery If high risk for bleeding—place BMS If high risk for bleeding and DES in situ: Assess duration of dual antiplatelet therapy Assess risk for stent thrombosis Assess risk of discontinuing one antiplatelet agent Wean antiplatelet therapy using monitors If low risk for bleeding—proceed

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