• Respirology · Nov 2012

    Is chest tube insertion with ultrasound guidance safe in patients using clopidogrel?

    • Wissam Abouzgheib, Yousef R Shweihat, Nikhil Meena, and Thaddeus Bartter.
    • Cooper University Hospital, Camden, New Jersey 08103, USA. abouzgheib-wissam@cooperhealth.edu
    • Respirology. 2012 Nov 1;17(8):1222-4.

    Background And ObjectiveDrainage of the pleural space is a common procedure. The safety of chest tube insertion in patients using clopidogrel has not been investigated.MethodsUltrasound-guided chest tube insertions performed on 24 patients who were being actively treated with clopidogrel were retrospectively reviewed.ResultsNo excessive bleeding occurred in any of these patients.ConclusionsGiven the known effects of clopidogrel on platelet function, these results were interpreted as indicating that clopidogrel therapy is a relative but not an absolute contraindication to chest tube insertion, if an experienced operator places a small-bore tube under ultrasound guidance.© 2012 The Authors. Respirology © 2012 Asian Pacific Society of Respirology.

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