title: [Thromboelastography as a method for preoperative assessment of hemostasis state in neurosurgical patients on long term aspirin therapy].
abstract: The hemostasis state was assessed by routine tests and TEG in 169 patients on long term aspirin therapy. According to TEG results all the patients were divided into three groups: normo-, hypo- and hypercoagulation. The aspirin therapy was interrupted in normo- and hypercoagulation groups, but the surgery was not postponed. In cases of hypocoagulation the aspirin therapy was also interrupted and the surgery was postponed for 3-5 days until TEG results normalized. Also the frequency of intracranial hemorrhagic complications was analyzed in every group. The results showed that despite the method used the hypocoagulation group had the highest rate of postoperative hemorrhage complications. Thromboelastography enables to assess hemostasis state in neurosurgical patients on long term aspirin therapy promptly and effectively.
authors.forename: L A
authors.initials: LA
authors.lastname: Israelian
authors.forename: A Iu
authors.initials: AIu
authors.lastname: Lubnin
authors.forename: A M
authors.initials: AM
authors.lastname: Tseĭtlin
mesh_terms: D000368:Aged; D001241:Aspirin / Q000008:administration & dosage / Q000009:adverse effects* / Q000627:therapeutic use; D001778:Blood Coagulation Disorders / Q000139:chemically induced* / Q000150:complications / Q000175:diagnosis*; D005260:Female; D006487:Hemostasis; D006801:Humans; D020300:Intracranial Hemorrhages / Q000209:etiology; D008297:Male; D008875:Middle Aged; D019635:Neurosurgical Procedures; D059035:Perioperative Period; D019106:Postoperative Hemorrhage / Q000209:etiology; D013916:Thrombelastography / Q000187:drug effects*
chemical_list: D001241:Aspirin