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- Tiffany Y Hu, Sophie M Peeters, Daniel T Nagasawa, Nirav V Kamdar, Rachel P Brook, Jesse Sun, Sandy Park, Natalie C Moreland, Daniel Cruz, Luke Macyszyn, and Marcella Calfon Press.
- From the Departments of Medicine.
- A A Pract. 2019 Jul 15; 13 (2): 69-73.
AbstractThe recommended duration of dual antiplatelet therapy after drug-eluting stent placement presents a dilemma for patients with recent stenting who require urgent or emergency noncardiac surgery. We present the case of a patient with recent drug-eluting stent placement (<6 months) on dual antiplatelet therapy who underwent successful emergency cervical spine surgery with antiplatelet therapy bridged using cangrelor, an intravenous P2Y12 inhibitor antiplatelet agent. Our experience illustrates the multidisciplinary approach to a patient with high thrombotic and bleeding risk who underwent neurosurgery off both aspirin and a P2Y12 inhibitor.
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