Uneventful removal of an epidural catheter guided by impedance aggregometry in a patient with recent coronary stenting and treated with clopidogrel and acetylsalicylic acid

被引：19

作者：

Bergmann, Lars ^{[1
]}

Kienbaum, Peter ^{[1
]}

Grlinger, Klaus ^{[1
]}

Peters, Rirgen ^{[1
]}

机构：

[1] Univ Duisburg Essen, Univ Klinikum Essen, Klin Anasthesiol & Intensivmed, D-45122 Essen, Germany

来源：

REGIONAL ANESTHESIA AND PAIN MEDICINE | 2007年 / 32卷 / 04期

关键词：

regional anesthesia; antiplatelet therapy; epidural catheter removal; point-of-care testing; platelet aggregometry; multiplate;

D O I：

10.1016/j.rapm.2007.06.007

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

objective: This report suggests that impedance aggregometry can be helpful to assess optimum time for and minimize the risk of catheter removal during double antiplatelet therapy. Case Report: A 52-year-old patient undergoing cystectomy during combined general and epidural anesthesia suffered an acute myocardial infarction, and required coronary artery stenting and dual antiplatelet function therapy. Conclusions: Balancing the risks of stent occlusion and epidural bleeding, bedside impedance aggregometry helped to identify the optimum time window for epidural catheter removal with the lowest bleeding risk in this patient.

引用

收藏

页码：354 / 357

页数：4

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