Management of antiplatelet therapy in patients undergoing neuroendovascular procedures.

TitleManagement of antiplatelet therapy in patients undergoing neuroendovascular procedures.
Publication TypeJournal Article
Year of Publication2017
JournalJournal of neurosurgery
Pagination1-16
Date Published2017 Dec 1
ISSN0022-3085
AbstractNeuroendovascular techniques for treating cerebral aneurysms and other cerebrovascular pathology are increasingly becoming the standard of care. Intraluminal stents, aneurysm coils, and other flow diversion devices typically require concomitant antiplatelet therapy to reduce thromboembolic complications. The variability inherent with the pharmacodynamic response to common antiplatelet agents such as aspirin and clopidogrel complicates optimal selection of antiplatelet agents by clinicians. This review serves to discuss the literature related to antiplatelet use in neuroendovascular procedures and provides recommendations for clinicians on how to approach patients with variable response to antiplatelet agents, particularly clopidogrel.
URLhttp://thejns.org/doi/abs/10.3171/2017.5.JNS162307?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%3dpubmed
DOI10.3171/2017.5.JNS162307
PubMed Linkhttp://www.ncbi.nlm.nih.gov/pubmed/29192856?dopt=Abstract
Short TitleJ Neurosurg