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Publication year
2010Source
Clinical Neurology and Neurosurgery, 112, 9, (2010), pp. 791-3ISSN
Annotation
01 november 2010
Publication type
Article / Letter to editor

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Organization
Neurosurgery
Health Evidence
Former Organization
Epidemiology, Biostatistics & HTA
Journal title
Clinical Neurology and Neurosurgery
Volume
vol. 112
Issue
iss. 9
Page start
p. 791
Page end
p. 3
Subject
DCN 1: Perception and Action; NCEBP 1: Molecular epidemiology; NCEBP 2: Evaluation of complex medical interventions; NCEBP 4: Quality of hospital and integrated care; ONCOL 5: Aetiology, screening and detectionAbstract
OBJECTIVE: Antiplatelet therapy is often instituted after cardiovascular or neurological ischemic events. In general, discontinuation of the antiplatelet medication for several days is warranted previous to surgery. However, discontinuation can lead to ischemic events. For some forms of surgery, the risks of an ischemic event, and especially, its consequences do not outweigh the benefit of discontinuation of the antiplatelet therapy. Retrospective analysis was done of a cohort of patients treated for carpal tunnel syndrome with special emphasis on postoperative hemorrhage in combination with antiplatelet medication. METHODS: Retrospective analysis of cohort consisting of 362 consecutive patients treated for carpal tunnel syndrome in the Neurosurgical Centre, Nijmegen was done. RESULTS: In 362 patients 423 operations on carpal tunnel release were done. Thirty-one patients were on antiplatelet therapy, of which 6 did not discontinue the medication before surgery. The remaining patients stopped at least seven days before surgery. A postoperative hemorrhage did not occur in any of the 423 operations. CONCLUSION: There seems no reasonable evidence that discontinuation of aspirin for carpal tunnel syndrome is justified. Bleeding complications are considered rare, moreover the impact of an ischemic cardiovascular or a cerebral event would be far more severe than that of postoperative hemorrhage in the wrist.
This item appears in the following Collection(s)
- Academic publications [227693]
- Electronic publications [107311]
- Faculty of Medical Sciences [86198]
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