How long should Brilinta (ticagrelor) be held before surgery?

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Last updated: October 16, 2025View editorial policy

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Timing of Ticagrelor (Brilinta) Discontinuation Before Surgery

For elective coronary artery bypass graft (CABG) surgery, ticagrelor should be discontinued for at least 5 days before surgery to minimize bleeding risk while maintaining adequate perioperative safety. 1, 2

Timing Guidelines Based on Surgery Type

Cardiac Surgery

  • For elective CABG surgery: Discontinue ticagrelor at least 5 days before surgery 1, 2
  • For urgent CABG surgery: Discontinue ticagrelor for at least 24 hours before surgery to reduce major bleeding complications 1

Non-Cardiac Surgery

  • For elective non-cardiac surgery: Discontinue ticagrelor 3-5 days before the procedure 2
  • For emergency surgery: Proceed without delay, with awareness of increased bleeding risk 3

Rationale for Timing Recommendations

  • Ticagrelor has a reversible mechanism of action but still requires sufficient time for platelet function recovery 4
  • Platelet function typically recovers gradually after ticagrelor discontinuation, with most patients reaching acceptable levels after 72 hours 4
  • However, there is significant interindividual variability in recovery time, with approximately 25% of patients still having inadequate platelet function at 72 hours 4

Important Considerations

  • The decision to discontinue ticagrelor must balance bleeding risk against thrombotic risk 2
  • For patients with high thrombotic risk requiring urgent surgery, cardiology consultation is recommended 2
  • Platelet transfusion has limited efficacy in reversing ticagrelor's effects, as demonstrated by ex vivo studies showing no significant improvement in platelet function with platelet concentrate administration 4

Special Populations

  • For patients with recent coronary stent placement, elective surgery should ideally be delayed when possible 2
  • For patients requiring surgery within 6-12 weeks of stent placement, careful risk assessment is needed 2

Resumption of Therapy

  • Antiplatelet therapy should be resumed within 24 hours after surgery when adequate hemostasis is achieved 2
  • If aspirin was not initiated preoperatively, it should be started within 6 hours postoperatively for CABG patients 1

Potential Pitfalls

  • Waiting longer than necessary (traditional 7-10 days) may increase thrombotic risk unnecessarily 2
  • Not waiting long enough increases bleeding risk, particularly in surgeries involving closed spaces (intracranial, spinal, posterior chamber of eye) 5
  • Replacing ticagrelor with heparin or low-molecular-weight heparin does not provide adequate protection against stent thrombosis 5

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Guideline

Timing of Ticagrelor Discontinuation Before Surgery

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Research

Platelet function recovery after ticagrelor withdrawal in patients awaiting urgent coronary surgery.

European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery, 2017

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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