Anesthesia & Clinical Research
Open Access

Irina Gasanova

Publications

• Research Article
  Platelet Aggregometry May Not Identify Clopidogrel-Treated Patients at High Risk of Peri-Operative Bleeding in Dialysis Access Surgery: A Pilot Study
  Author(s): Benjamin S Martinez, Irina Gasanova, Adebola O Adesanya, Ingemar Davidson and Ravindra SarodeBenjamin S Martinez, Irina Gasanova, Adebola O Adesanya, Ingemar Davidson and Ravindra Sarode
  
  Patients treated with Clopidogrel are usually instructed to discontinue treatment for 7 days prior to surgery because of concern for excessive peri-operative blood loss. Limited data exist regarding blood loss resulting from continuing treatment with Clopidogrel. Our goal was to compare peri-operative blood loss in Clopidogrel (CC) treated patients with Non-Clopidogrel (NC) patients undergoing upper extremity dialysis access surgery. Methods: Following informed consent, 23 patients, 18-90 years old were enrolled in a pilot, prospective study. Nine patients continued treatment with Clopidogrel, while 14 patients had no exposure to the drug. Vascular fistula or graft placement was accomplished under brachial plexus anesthesia and sedation. ADP (adenosine diphosphate) induced inhibition of platelets was assayed by Impedance-based Whole Blood Platelet Aggregation (IWBPA) on immediate preo.. View More»
  DOI: 10.4172/2155-6148.1000230

  Abstract PDF

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