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Ahmed Abdel Samie 1 Article
Biliary-Pancreatic Endoscopic and Surgical Procedures in Patients under Dual Antiplatelet Therapy: A Single-Center Study
Ahmed Abdel Samie, Michael Stumpf, Rui Sun, Lorenz Theilmann
Clin Endosc 2013;46(4):395-398.   Published online July 31, 2013
DOI: https://doi.org/10.5946/ce.2013.46.4.395
AbstractAbstract PDFPubReaderePub
Background/Aims

Dual antiplatelet therapy has to be used for at least 1 month after placement of bare metal coronary stents and for a minimum of 1 year after placement of drug eluting stents. Because of the higher risk of bleeding, guidelines strongly recommend to delay elective surgery until dual antiplatelet therapy is ended. However, no data are available regarding the bleeding risk in patients on combined aspirin/clopidogrel therapy undergoing surgical or high-risk endoscopic procedures.

Methods

We retrospectively analyzed the medical reports of patients on dual antiplatelet therapy, the patients who had to undergo emergency biliary-pancreatic surgery or endoscopic retrograde cholangiography with endoscopic sphincterotomy while in our unit between January 2009 and July 2012.

Results

In our series, biliary-pancreatic surgical and endoscopic procedures were safely performed in 11 consecutive patients on dual antiplatelet therapy with no evidence of bleeding.

Conclusions

In emergency, surgical and high risk endoscopic procedures may be performed in patients on dual antiplatelet therapy.

Citations

Citations to this article as recorded by  
  • Risk of post-sphincterotomy bleeding with antiplatelet and anticoagulant use: a propensity-matched analysis of the U.S. Collaborative Network
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    Gastrointestinal Endoscopy.2023; 97(6): 1129.     CrossRef
  • No Significant Difference in Post-ERCP Bleeding Rates Between Dual Antiplatelet Agents and Aspirin Alone
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  • Effects of antithrombotic therapy on bleeding after endoscopic sphincterotomy: A systematic review and meta-analysis
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    Endoscopy International Open.2022; 10(06): E865.     CrossRef
  • Pharmacologic venous thromboembolism prophylaxis is not associated with post sphincterotomy bleeding after endoscopic retrograde cholangiopancreatography
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  • American College of Veterinary Emergency and Critical Care (ACVECC) Consensus on the Rational Use of Antithrombotics in Veterinary Critical Care (CURATIVE) guidelines: Small animal
    Robert Goggs, Marie‐Claude Blais, Benjamin M. Brainard, Daniel L. Chan, Armelle M. deLaforcade, Elizabeth Rozanski, Claire R. Sharp
    Journal of Veterinary Emergency and Critical Care.2019; 29(1): 12.     CrossRef
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    Benjamin M. Brainard, Yekaterina Buriko, Jennifer Good, Alan G. Ralph, Elizabeth A. Rozanski
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  • Does Rectal Indomethacin Given for Prevention of Post-ERCP Pancreatitis Increase Bleeding After Biliary Endoscopic Sphincterotomy or Cardiovascular Mortality?
    Árpád Patai, Norbert Solymosi, Árpád V. Patai
    Medicine.2014; 93(26): e159.     CrossRef
  • A Single Institution's Experience of Infundibulotomy in Patients Taking Antiplatelet Agents: Outcomes, Safety and Complications
    Dong Hoon Baek, Geun Am Song, Dong Uk Kim, Gwang Ha Kim, Bong Eun Lee, Hye Kyung Jeon, Joon Hyung Jhi, Jung Ho Bae, Hyun Jeong Lee
    The Korean Journal of Gastroenterology.2014; 63(4): 216.     CrossRef
  • Continue or Discontinue Dual Antiplatelet Therapy in Major Surgical or Endoscopic Procedures
    Young Koog Cheon
    Clinical Endoscopy.2013; 46(4): 315.     CrossRef
  • Perioperative management of antiplatelet therapy
    A.D. Oprea, W.M. Popescu
    British Journal of Anaesthesia.2013; 111: i3.     CrossRef
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