LUCKNOW, Aug. 1 -- In a rare medical feat, doctors at Sanjay Gandhi Postgraduate Institute of Medical Sciences (SGPGIMS) successfully performed a highly complex hip fracture surgery on an elderly patient who had undergone coronary angioplasty with the placement of two drug-eluting stents just two months ago. The operation required doctors to strike a delicate balance between two potentially fatal risks -uncontrolled bleeding during surgery and life-threatening clot formation inside the recently implanted heart stents. The patient had suffered a major cardiac event two months ago and underwent Percutaneous Transluminal Coronary Angioplasty (PTCA), during which two drug-eluting stents were implanted. Following the procedure, he was placed on dual antiplatelet therapy (DAPT), the standard medication regimen to prevent blood clots inside the new stents. Before he could fully recover, the patient sustained a hip fracture - a medical emergency in elderly individuals. While early surgery is considered the gold standard for such fractures, operating on a patient with recent coronary stenting is regarded as one of the most difficult scenarios in modern surgical practice. Doctors explained that delaying hip fracture surgery increases chances of pneumonia, deep vein thrombosis, pressure ulcers, prolonged immobilisation and even death. However, stopping antiplatelet medication before surgery could have caused acute stent thrombosis, leading to a massive heart attack, while continuing the drugs increased the risk of excessive surgical bleeding. To overcome this challenge, specialists from the departments of orthopaedics, cardiology and anaesthesiology jointly formulated a multidisciplinary treatment strategy after extensive clinical discussions and risk assessment. The patient, who also had advanced age and multiple co-existing illnesses, was categorised as extremely high-risk for both anaesthesia and surgery. The anaesthesia team opted for ultrasound-guided continuous spinal anaesthesia, a technique that helped maintain stable blood pressure and cardiac function throughout the operation while minimising complications. The surgery was led by Dr Pulak Sharma, additional professor and HoD of orthopaedics while Dr Vansh Priya headed the anaesthesia team. Three weeks after surgery, the patient has begun walking with support, is steadily regaining mobility and has resumed most routine daily activities....