[Removal of an epidural catheter from a patient receiving anticoagulant and antiplatelet therapy].
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.
Arnal
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Unidad de Anestesia y Reanimación, Hospital Universitario Fundación Alcorcón, Alcorcón, Madrid. darnal@fhalcorcon.es
Anduezaa
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A
García del Valle
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S
D015360:Analgesia, Epidural / Q000295:instrumentation*; D000789:Angina, Unstable / Q000188:drug therapy / Q000628:therapy; D015906:Angioplasty, Balloon, Coronary; D000925:Anticoagulants / Q000009:adverse effects / Q000627:therapeutic use; D001157:Arterial Occlusive Diseases / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D002404:Catheterization; D003131:Combined Modality Therapy; D015897:Comorbidity; D020878:Device Removal; D054855:Drug-Eluting Stents; D005263:Femoral Artery / Q000601:surgery; D046748:Hematoma, Epidural, Spinal / Q000517:prevention & control*; D006801:Humans; D007442:Intubation, Intratracheal; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000188:drug therapy / Q000628:therapy; D010149:Postoperative Pain / Q000188:drug therapy; D010975:Platelet Aggregation Inhibitors / Q000009:adverse effects / Q000627:therapeutic use; D011183:Postoperative Complications / Q000188:drug therapy / Q000517:prevention & control* / Q000601:surgery / Q000628:therapy; D017131:Thrombectomy; D013927:Thrombosis / Q000601:surgery
D000925:Anticoagulants; D010975:Platelet Aggregation Inhibitors