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Peripartum management of dual antiplatelet therapy and neuraxial labor analgesia after bare metal stent insertion for acute myocardial infarction.

Publication ,  Journal Article
Bauer, MEB; Bauer, ST; Rabbani, AB; Mhyre, JM
Published in: Anesth Analg
September 2012

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.

Duke Scholars

Published In

Anesth Analg

DOI

EISSN

1526-7598

Publication Date

September 2012

Volume

115

Issue

3

Start / End Page

613 / 615

Location

United States

Related Subject Headings

  • Ticlopidine
  • Stents
  • Pregnancy Complications
  • Pregnancy
  • Platelet Aggregation Inhibitors
  • Peripartum Period
  • Peptides
  • Nerve Block
  • Myocardial Infarction
  • Metals
 

Citation

APA
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ICMJE
MLA
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Bauer, M. E. B., Bauer, S. T., Rabbani, A. B., & Mhyre, J. M. (2012). Peripartum management of dual antiplatelet therapy and neuraxial labor analgesia after bare metal stent insertion for acute myocardial infarction. Anesth Analg, 115(3), 613–615. https://doi.org/10.1213/ANE.0b013e31825ab374
Bauer, Melissa E. B., Samuel T. Bauer, Amir B. Rabbani, and Jill M. Mhyre. “Peripartum management of dual antiplatelet therapy and neuraxial labor analgesia after bare metal stent insertion for acute myocardial infarction.Anesth Analg 115, no. 3 (September 2012): 613–15. https://doi.org/10.1213/ANE.0b013e31825ab374.
Bauer, Melissa E. B., et al. “Peripartum management of dual antiplatelet therapy and neuraxial labor analgesia after bare metal stent insertion for acute myocardial infarction.Anesth Analg, vol. 115, no. 3, Sept. 2012, pp. 613–15. Pubmed, doi:10.1213/ANE.0b013e31825ab374.

Published In

Anesth Analg

DOI

EISSN

1526-7598

Publication Date

September 2012

Volume

115

Issue

3

Start / End Page

613 / 615

Location

United States

Related Subject Headings

  • Ticlopidine
  • Stents
  • Pregnancy Complications
  • Pregnancy
  • Platelet Aggregation Inhibitors
  • Peripartum Period
  • Peptides
  • Nerve Block
  • Myocardial Infarction
  • Metals