Safety of spinal anaesthesia in patients with recent coronary stents

Authors

  • Mridu Paban Nath Gauhati Medical College Hospital
  • Dipak Bhattacharyya Gauhati Medical College Hospital
  • Dipika Choudhury Gauhati Medical College Hospital
  • Anulekha Chakrabarty Gauhati Medical College Hospital

Keywords:

Coronary stent, Antiplatelet drugs, Chronic obstructive airway disease, Pseudoaneurysm

Abstract

Complications relating to spinal anaesthesia following antiplatelet therapy are unclear. We report on a patient with a known history of chronic obstructive airway disease with respiratory tract infection who presented for emergency pseudoaneurysm repair. He underwent recent coronary stent implantation and was treated with clopidogrel and aspirin. Despite dual antiplatelet therapy, spinal anaesthesia was administered safely with prior platelet transfusion. Therefore, regional anaesthesia can be considered in selected patients with prior platelet transfusion on dual antiplatelet drugs when it is deemed to be necessary.

Author Biographies

Mridu Paban Nath, Gauhati Medical College Hospital

MD Assistant Professor Department of Anaesthesiology & Critical Care I/C Cardiac Anesthesiology Gauhati Medical College Hospital Guwahati Assam India

Dipak Bhattacharyya, Gauhati Medical College Hospital

MS, MCH Assistant Professor Department of Cardiothoracic & Vascular Surgery Gauhati Medical College Hospital Guwahati Assam India

Dipika Choudhury, Gauhati Medical College Hospital

DA, MD Professor & Head Department of Anesthesiology & Critical Care Gauhati Medical College Hospital Guwahati Assam India

Anulekha Chakrabarty, Gauhati Medical College Hospital

MD Professor Department of Anesthesiology & Critical Care Gauhati Medical College Hospital Guwahati Assam India

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Published

2012-10-29

Issue

Section

Case Studies