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
Chicago
ICMJE
MLA
NLM
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 MEB, Bauer ST, Rabbani AB, Mhyre JM. Peripartum management of dual antiplatelet therapy and neuraxial labor analgesia after bare metal stent insertion for acute myocardial infarction. Anesth Analg. 2012 Sep;115(3):613–5.
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.
Bauer MEB, Bauer ST, Rabbani AB, Mhyre JM. Peripartum management of dual antiplatelet therapy and neuraxial labor analgesia after bare metal stent insertion for acute myocardial infarction. Anesth Analg. 2012 Sep;115(3):613–615.
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