Endobronchial Ultrasound-guided Transbronchial Needle Aspiration while Receiving Aspirin and Clopidogrel: Is It Always Safe?
Endobronchial Ultrasound-guided Transbronchial Needle Aspiration while Receiving Aspirin and Clopidogrel: Is It Always Safe?
复制标题
接受阿司匹林和氯吡格雷的同时支气管内超声引导下经支气管针吸活检：总是安全吗？
DOI：
10.1513/annalsats.201507-402le
复制
发表时间：
2015
影响因子：
8.3
通讯作者：
Kassem Harris
中科院分区：
文献类型：
--
作者：
Jordan Karnyski;S. Dhillon;Abhishek Kumar;Kassem Harris
支气管内超声（EBUS）引导下经支气管针吸活检（TBNA）有时用于接受阿司匹林和氯吡格雷（Plastine）治疗的患者。在缺乏任何随机对照试验的结论性数据的情况下，这种做法的安全性得到了一些病例系列的支持（1，2）。在这份报告中，我们介绍了一例接受阿司匹林和氯吡格雷治疗的患者在EBUS-TBNA期间发生中度出血的病例。我们打算提醒支气管镜医师在这一人群中进行EBUS-TBNA时要注意过度出血的风险和所需的准备。
Endobronchial ultrasound (EBUS)-guided transbronchial needle aspiration (TBNA) is sometimes performed on patients receiving aspirin and clopidogrel (Plavix). The safety of this practice has been supported by a few case series in the absence of conclusive data from any randomized control trials (1, 2). In this report, we present a case of moderate bleeding during EBUS-TBNA in a patient receiving aspirin and clopidogrel. We intend to caution the bronchoscopist about the excess bleeding risk and the required preparedness while performing EBUS-TBNA in this population.