TY - JOUR
T1 - Clinical practice for antiplatelet and anticoagulant therapy in neurosurgery: data from an Italian survey and summary of current recommendations – part I, antiplatelet therapy
AU - Fiaschi, Pietro
AU - Iaccarino, Corrado
AU - Stefini, Roberto
AU - Prior, Enrico
AU - Prior, Alessandro
AU - Zona, Gianluigi
PY - 2020/1/1
Y1 - 2020/1/1
N2 - The use of antiplatelet medication is widespread as reducing risk of death, myocardial infarction, and occlusive stroke. Currently, the management of neurosurgical patients receiving this type of therapy continues to be a problem of special importance. In this paper, we present the results of an Italian survey focused on the management neurosurgical patient under antiplatelet therapy and, for any item of the investigation, the relative advices coming from literature. This survey was conducted including 129 neurosurgery units in Italy. The present paper was designed by following each question posed in the survey by a brief discussion on literature data. There is a considerable lack of consensus regarding management of antiplatelet therapy in neurosurgery, with critical impact on patient’s treatment. What is clearly evident from the present survey is the considerable variability in neurosurgical care for antiplatelet patients; it is reasonable to assume that this scenario reflects the paucity of evidence regarding this issue.
AB - The use of antiplatelet medication is widespread as reducing risk of death, myocardial infarction, and occlusive stroke. Currently, the management of neurosurgical patients receiving this type of therapy continues to be a problem of special importance. In this paper, we present the results of an Italian survey focused on the management neurosurgical patient under antiplatelet therapy and, for any item of the investigation, the relative advices coming from literature. This survey was conducted including 129 neurosurgery units in Italy. The present paper was designed by following each question posed in the survey by a brief discussion on literature data. There is a considerable lack of consensus regarding management of antiplatelet therapy in neurosurgery, with critical impact on patient’s treatment. What is clearly evident from the present survey is the considerable variability in neurosurgical care for antiplatelet patients; it is reasonable to assume that this scenario reflects the paucity of evidence regarding this issue.
KW - Antiplatelet therapy
KW - Hemostasis
KW - ICH
KW - Neurosurgery
KW - Reversal therapy
KW - TBI
UR - http://www.scopus.com/inward/record.url?scp=85078290531&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85078290531&partnerID=8YFLogxK
U2 - 10.1007/s10143-019-01229-7
DO - 10.1007/s10143-019-01229-7
M3 - Article
C2 - 31953783
AN - SCOPUS:85078290531
JO - Neurosurgical Review
JF - Neurosurgical Review
SN - 0344-5607
ER -