PT  - JOURNAL ARTICLE
AU  - Bergmann, Lars
AU  - Kienbaum, Peter
AU  - Görlinger, Klaus
AU  - Peters, Jürgen
TI  - Uneventful Removal of an Epidural Catheter Guided by Impedance Aggregometry in a Patient With Recent Coronary Stenting and Treated With Clopidogrel and Acetylsalicylic Acid
AID  - 10.1016/j.rapm.2007.06.007
DP  - 2007 Jul 01
TA  - Regional Anesthesia & Pain Medicine
PG  - 354--357
VI  - 32
IP  - 4
4099  - http://rapm.bmj.com/content/32/4/354.short
4100  - http://rapm.bmj.com/content/32/4/354.full
SO  - Reg Anesth Pain Med2007 Jul 01; 32
AB  - Objective: This report suggests that impedance aggregometry can be helpful to assess optimum time for and minimize the risk of catheter removal during double antiplatelet therapy.Case Report: A 52-year-old patient undergoing cystectomy during combined general and epidural anesthesia suffered an acute myocardial infarction, and required coronary artery stenting and dual antiplatelet function therapy.Conclusions: Balancing the risks of stent occlusion and epidural bleeding, bedside impedance aggregometry helped to identify the optimum time window for epidural catheter removal with the lowest bleeding risk in this patient.