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Anticoagulant and Antiplatelet Management for Spinal Procedures: A Prospective, Descriptive Study and Interpretation of Guidelines
Author(s) -
Bradly S. Goodman,
L. McLean House,
Sridhar Vallabhaneni,
Srinivas Mallempati,
Matthew R. Willey,
Matthew Smith
Publication year - 2016
Publication title -
pain medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.893
H-Index - 97
eISSN - 1526-4637
pISSN - 1526-2375
DOI - 10.1093/pm/pnw227
Subject(s) - medicine , anticoagulant , interpretation (philosophy) , intensive care medicine , anesthesia , surgery , computer science , programming language
Epidural hematoma rarely complicates interventional spine procedures. While anticoagulant and antiplatelet drugs increase bleeding risk, cessation may precipitate serious thromboembolic events. The Spine Intervention Society (SIS) and American Society of Regional Anesthesia and Pain Medicine (ASRA) put forth guidelines that dissent with regard to management of hemostatically active agents during commonly performed spinal injections.

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