Is chest tube insertion with ultrasound guidance safe in patients using clopidogrel?

被引：19

作者：

Abouzgheib, Wissam ^{[1
]}

Shweihat, Yousef R. ^{[2
,3
]}

Meena, Nikhil ^{[2
,3
]}

Bartter, Thaddeus ^{[2
,3
]}

机构：

[1] Cooper Univ Hosp, Camden, NJ 08103 USA

[2] Cent Arkansas Vet Hosp Syst, Little Rock, AR USA

[3] Univ Arkansas Med Sci, Little Rock, AR 72205 USA

来源：

RESPIROLOGY | 2012年 / 17卷 / 08期

关键词：

clopidogrel; pleural effusion; small-bore chest tube; ultrasound guidance; BLEEDING COMPLICATIONS; ANTIPLATELET THERAPY; ANTICOAGULATION; THORACENTESIS; RISK;

D O I：

10.1111/j.1440-1843.2012.02230.x

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

Background and objective: Drainage of the pleural space is a common procedure. The safety of chest tube insertion in patients using clopidogrel has not been investigated. Methods: Ultrasound-guided chest tube insertions performed on 24 patients who were being actively treated with clopidogrel were retrospectively reviewed. Results: No excessive bleeding occurred in any of these patients. Conclusions: Given the known effects of clopidogrel on platelet function, these results were interpreted as indicating that clopidogrel therapy is a relative but not an absolute contraindication to chest tube insertion, if an experienced operator places a small-bore tube under ultrasound guidance.

引用

收藏

页码：1222 / 1224

页数：3

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