• A&A practice · Jan 2023

    Long-Term Cangrelor Administration in Neurology Intensive Care: A Case Series.

    • Olivier Duranteau, Lamine Abdennour, Mehdi Drir, Frederic Clarencon, Corinne Frère, Alice Jacquens, and Vincent Degos.
    • From the Neuro-Intensive Care Unit, Department of Anesthesiology and Intensive Care, Pitié-Salpêtrière Hospital, Paris, France.
    • A A Pract. 2023 Jan 1; 17 (1): e01652e01652.

    AbstractCangrelor is a P2Y12 inhibitor antiplatelet agent, with a rapid onset and offset. The available literature only reviews short-term administration over a few hours. We describe 5 patients who received cangrelor for >1 month in a neurosurgical intensive care unit due to a very high likelihood of requiring emergency revision surgery. Despite multiple therapeutic interruptions for surgical procedures, no hemorrhagic events occurred, and there was only one transient ischemic event, which occurred during transition from cangrelor to ticagrelor. Cangrelor can be a therapeutic option for patients with a high likelihood of requiring revision neurosurgery after intracranial stenting.Copyright © 2023 International Anesthesia Research Society.

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