Clopidogrel Stent Urgent Surgery — FRCA Final MCQ

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HardPreoperative AssessmentClopidogrel Stent Urgent SurgeryFRCA Final

Clopidogrel for coronary stent (3 months ago). Urgent cholecystectomy for biliary sepsis. Approach?

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Correct answer: E — MDT discussion: cardiology, surgery, anaesthesia

Stent at 3 months = high thrombosis risk (DES min 6 months DAPT). Stopping clopidogrel prematurely risks catastrophic stent thrombosis (~30% mortality). MDT discussion essential. Aspirin continued throughout. Options: continue clopidogrel, short interruption with early resumption.

Reference: ESC – 2024 – Perioperative antiplatelets; BSH – 2022