[Removal of an epidural catheter from a patient receiving anticoagulant and antiplatelet therapy]

Rev Esp Anestesiol Reanim. 2009 Apr;56(4):249-51. doi: 10.1016/s0034-9356(09)70380-9.
[Article in Spanish]

Abstract

We describe the management of anticoagulant and antiplatelet therapy to reduce the risk of hematoma on removal of an epidural catheter. The situation arose following major vascular surgery complicated by an acute myocardial infarction that required anticoagulant and antiplatelet therapy following implantation of a coronary stent.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Analgesia, Epidural / instrumentation*
  • Angina, Unstable / drug therapy
  • Angina, Unstable / therapy
  • Angioplasty, Balloon, Coronary
  • Anticoagulants / adverse effects
  • Anticoagulants / therapeutic use
  • Arterial Occlusive Diseases / surgery
  • Blood Vessel Prosthesis Implantation
  • Catheterization*
  • Combined Modality Therapy
  • Comorbidity
  • Device Removal
  • Drug-Eluting Stents
  • Femoral Artery / surgery
  • Hematoma, Epidural, Spinal / prevention & control*
  • Humans
  • Intubation, Intratracheal
  • Male
  • Middle Aged
  • Myocardial Infarction / drug therapy
  • Myocardial Infarction / therapy
  • Pain, Postoperative / drug therapy
  • Platelet Aggregation Inhibitors / adverse effects
  • Platelet Aggregation Inhibitors / therapeutic use
  • Postoperative Complications / drug therapy
  • Postoperative Complications / prevention & control*
  • Postoperative Complications / surgery
  • Postoperative Complications / therapy
  • Thrombectomy
  • Thrombosis / surgery

Substances

  • Anticoagulants
  • Platelet Aggregation Inhibitors