Antiplatelets for Stent-Coil Techniques

  • ASA (325 mg daily) and clopidogrel (75 mg daily) x 5 days prior to procedure
  • platelet aggregometry 1–2 days before procedure
  • further loading of aspirin and/or clopidogrel PRN
  • unanticipated stenting
    • load with IV or IA abciximab intraprocedurally
    • then load and maintain on ASA and clopidogrel
  • systemic heparinization prior to guide catheter introduction, target activated clotting time 2–2.5 greater than baseline

 

Reference:

Spiotta, Alejandro M et al. “Comparison Of Techniques For Stent Assisted Coil Embolization Of Aneurysms”. Journal of NeuroInterventional Surgery 4.5 (2011): 339-344.

 

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