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A patient who received clopidogrel with an indwelling epidural catheter

Joshua Hamburger1, Ira S Hofer2, Yury Khelemsky3

  • 1Department of Anesthesiology, Mount Sinai School of Medicine, 1 Gustave L. Levy Place, New York, NY 10128, USA.

Journal of Clinical Anesthesia
|December 3, 2014
PubMed

Insights

Managing patients requiring clopidogrel after epidural placement needs vigilance. Platelet transfusions can mitigate risks associated with neuraxial techniques and antiplatelet therapy, preventing complications like epidural hematoma.

Area of Science:

  • Cardiology
  • Anesthesiology
  • Hematology

Background:

  • Drug-eluting stents necessitate antiplatelet therapy, such as clopidogrel, for secondary prevention.
  • Thoracic epidural analgesia is a common perioperative technique for thoracotomy.
  • Concurrent use of neuraxial techniques and antiplatelet agents poses bleeding risks, including epidural hematoma.

Keywords:
ClopidogrelDrug-eluting stentThoracotomy

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