Antiplatelet Bridging Quiz

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Question 1 of 5

1. Question
According to an ESC 2017 guideline focus update, nonurgent
surgery can be completed after _____ months following PCI/DES
placement.
- A. 1 month
- B. 3 months
- C. 6 months
- D. 12 months
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Question 2 of 5

2. Question
Which of the following does not increase the risk of perioperative
ischemic complications?
- A. Left main artery PCI
- B. Chronic heart failure
- C. RCRI Score 2 or greater
- D. All of the above increase risk of ischemic complications
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Question 3 of 5

3. Question
58 year old male transferred for CABG after receving a stent/PCI at
OSH. The surgeon asks for recommendation on when to stop
tirofiban bridge prior to surgery. What do you recommend?
- A. At time of cardiopulmonary bypass
- B. 30 minutes prior to surgery
- C. 1 hour prior to surgery
- D. 3-6 hours prior to surgery
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Question 4 of 5

4. Question
Select all statements that are true related to cangrelor.
- A. Cangrelor is inactivated by dephosphorylation in circulation.
- B. Cangrelor’s active metabolite is eliminated renally.
- C. Clopidogrel should be given prior to cangrelor being stopped when transitioning.
- D. Cangrelor can cause dyspnea.
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Question 5 of 5

5. Question
Which patient(s) would benefit most from use of cangrelor over
tirofiban?
- A. 48 year old female admitted to OSH for STEMI found to have multivessel disease who received a PCI with two stents 1 day ago and is now transferred to your facility awaiting CABG (CrCl 71 ml/min).
- B. 51 year old male admitted for VF cardiac arrest related to STEMI now s/p 1 stent and cannulated for VA ECMO with plans for CABG for multivessel disease (CrCl 53 ml/min).
- C. 64 year old female admitted for NSTEMI s/p stenting who required intubation for acute hypoxic respiratory failure. The critical care team is now planning to place a tracheostomy tube for prolonged vent weaning (CrCl 38 ml/min).
- D. 78 year old male admitted for fall with broken hip subsequently found to have NSTEMI in work up for orthopedic procedure. PMH of COPD. Orthopedics team requests the patient’s cardiac issues be addressed prior to hip surgery. Patient will underwent high-risk PCI. Anesthesia plans to provide a nerve block over intubation during the surgery 1-2 days after PCI (CrCl 42 ml/min).
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