Question-260

A patient with recently placed stent and started on clopidogrel presenting for varicose vein surgery.

What is the most appropriate management?


a. defer the surgery for 12 months, continue clopidogrel and then stop it 2 weeks prior the surgery
b. stop clopidogrel, proceed to surgery
b. stop clopidogrel 7 days prior to surgery, PLT transfusion, proceed to surgery
c. continue clopidogrel, proceed to surgery

. stop clopidogrel 7 days prior to surgery, PLT transfusion, proceed to surgery

stop clopidogrel 7 days prior to surgery, PLT transfusion, proceed to surgery.This is correct but in an emergency condition and also is based on American recommendation.
In elective condition both are recommending option a.Defer the surgery for 12 months continue clopidogrel and then stop it 2 weeks prior the surgery.