Suggest deferring open aneurysm repair for at least 6 months after drug-eluting coronary stent placement or, alternatively, performing elective endovascular aneurysm repair with continuation of dual-antiplatelet therapy.
Surveillance imaging at 12-month intervals is recommended for patients with an abdominal aortic aneurysm of 4-4.9 cm in diameter.
Endovascular repair is recommended as the preferred method of treatment for ruptured aneurysms. Elective endovascular aneurysm repair should be limited to hospitals with a documented mortality and conversion rate to open surgical repair ≤ 2% and that perform at least 10 cases each year. Elective open aneurysm repair should be limited to hospitals with a documented mortality ≤ 5% and that perform at least 10 open aortic operations of any type each year.
Although antibiotic prophylaxis is recommended for patients with an aortic prosthesis before any dental procedure involving the manipulation of the gingival or periapical region of the teeth or perforation of the oral mucosa, antibiotic prophylaxis is not recommended before respiratory tract procedures, gastrointestinal or genitourinary procedures, and dermatologic or musculoskeletal procedures unless the potential for infection exists or the patient is immunocompromised.
For more on these guidelines, read here.
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Cite this: Yasmine S. Ali. Fast Five Quiz: New Cardiology Guidelines - Medscape - Oct 25, 2018.