Modified thromboelastography evaluation of platelet dysfunction in patients undergoing coronary artery surgery | Zendy

Sergey Preisman | Zendy; Alexander Kogan | Zendy; Kira Itzkovsky | Zendy; Gleb Leikin | Zendy; Ehud Raanani | Zendy

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Modified thromboelastography evaluation of platelet dysfunction in patients undergoing coronary artery surgery

Author(s) -

Sergey Preisman,

Alexander Kogan,

Kira Itzkovsky,

Gleb Leikin,

Ehud Raanani

Publication year - 2010

Publication title -

european journal of cardio-thoracic surgery

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.303

H-Index - 133

eISSN - 1873-734X

pISSN - 1010-7940

DOI - 10.1016/j.ejcts.2009.12.044

Subject(s) - medicine , clopidogrel , thromboelastography , aspirin , perioperative , platelet , anesthesia , myocardial infarction , discontinuation , thromboelastometry , surgery , cardiac surgery , coronary artery bypass surgery , cardiology , artery

Anti-platelet therapy is associated with increased perioperative bleeding. Although current guidelines call for its caessation 5-10 days prior to cardiac surgery, this could constitute an increased risk of preoperative myocardial infarction. The optimal safe period from discontinuation of anti-platelet therapy to surgery is as yet unknown for the individual patient. We investigated whether preoperative thromboelastography (TEG) with platelet mapping could predict bleeding tendency in patients (on recent anti-platelet therapy) undergoing coronary artery bypass grafting (CABG).

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