Patients are generally required to stop antiplatelet therapy prior to elective invasive
procedures. Some patients receive dual antiplatelet therapy for recent vascular procedures
such as drug-eluting coronary stenting, and early discontinuation of antiplatelet
agents could lead to a significant risk of stent thrombosis. Most bronchoscopic procedures
are performed on patients using Aspirin but not on those using Clopidogrel or Prasugrel.
In this report, we describe a unique case of a patient with a recent placement of
drug-eluting stents, who required endobronchial biopsies for evaluation of lung cancer
recurrence. The procedure was performed successfully and safely with no complications.
Keywords
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References
- Effect of routine clopidogrel use on bleeding complications after transbronchial biopsy in humans.Chest. 2006; 129: 734-737
- Safety of endobronchial ultrasound-guided transbronchial needle aspiration for patients taking clopidogrel: a report of 12 consecutive cases.Respiration. 2012; 83: 330-334
- Aspirin does not increase bleeding complications after transbronchial biopsy.Chest. 2002; 122: 1461-1464
- Prasugrel: a critical comparison with clopidogrel.Pharmacotherapy. 2009; 29: 1441-1451
Article info
Publication history
Published online: February 02, 2015
Accepted:
January 19,
2015
Received in revised form:
December 17,
2014
Received:
December 8,
2014
Identification
Copyright
© 2015 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier Inc. All rights reserved.
