Peripartum management of dual antiplatelet therapy and neuraxial labor analgesia after bare metal stent insertion for acute myocardial infarction.
Anesth Analg
; 115(3): 613-5, 2012 Sep.
Article
em En
| MEDLINE
| ID: mdl-22584549
ABSTRACT
A 31-year-old woman at 32 weeks' gestation presented with an ST segment elevation myocardial infarction with subsequent bare metal stent placement. A multidisciplinary team coordinated the delivery plan, including anticoagulation and delivery mode. Because the patient was at high risk for stent thrombosis, clopidogrel was discontinued after 4 weeks and bridged with eptifibatide for 7 days. Eptifibatide was stopped for induction of labor. Twelve hours after eptifibatide was discontinued, hemostatic function was assessed with thromboelastography before initiating neuraxial analgesia. A successful operative vaginal delivery was performed, followed by an uncomplicated recovery. Clopidogrel was resumed 24 hours postpartum.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Complicações na Gravidez
/
Inibidores da Agregação Plaquetária
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Angioplastia Coronária com Balão
/
Stents
/
Analgesia Obstétrica
/
Infarto do Miocárdio
/
Bloqueio Nervoso
Limite:
Adult
/
Female
/
Humans
/
Pregnancy
Idioma:
En
Revista:
Anesth Analg
Ano de publicação:
2012
Tipo de documento:
Article
País de afiliação:
Estados Unidos