Neurosurgery in a patient on dual antiplatelet therapy. Case report and the review of the literature

Lubnin A.Yu.; Karnaukhov V.V.; Moshkin A.V.; Rylova A.V.; Shimanskiĭ V.N.

doi:https://doi.org/10.17116/neiro201680391-98

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Abstract:

Introduction. A neurosurgical intervention in a patient on dual antiplatelet therapy is a serious challenge for both the neurosurgeon and anesthesiologist. Material and methods. The article describes a clinical case of a successful urgent neurosurgical intervention (ventriculoperitoneostomy for obstructive hydrocephalus caused by a large meningioma of the posterior surface of the petrous pyramid) in a patient on dual antiplatelet therapy (DAT) due to a recently placed coronary stent. Conclusion. Given a high risk of coronary stent thrombosis, the surgery was performed in the presence of ongoing DAT. There were no intracranial hemorrhagic complications, but subcutaneous hemorrhagic complications developed. The article discusses the features of managing similar patients whose number is growing.

Keywords:

neurosurgical intervention

skull base tumors

coronary stent

dual antiplatelet therapy

neurosurgical intervention

skull base tumors

coronary stent

dual antiplatelet therapy

Authors:

Lubnin A.Yu.

Moscow Regional Research Institute of Obstetrics and Gynecology, Ministry of Health of the Moscow Region, Moscow, Russia, N.N. Burdenko Research Institute of Neurosurgery, Moscow, Russia, Department of Obstetrics and Gynecology, M.F. Vladimirsky Moscow Regional Research Clinical Institute, Moscow, Russia

RSCI AuthorID: 370609
Scopus AuthorID: 57192157123
ORCID: 0000-0003-2595-5877

Karnaukhov V.V.

FGBU "NII neĭrokhirurgii im. akad. N.N. Burdenko" RAMN, Moskva

Moshkin A.V.

NII neĭrokhirurgii im. N.N. Burdenko RAMN, Moskva

ORCID: 0000-0002-9965-4578

Rylova A.V.

Burdenko Neurosurgical Institute, Moscow, Russia

Shimanskiĭ V.N.

NII neĭrokhirurgii im. akad. N.N. Burdenko RAMN, Moskva

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