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Rivista di Anestesia, Rianimazione, Terapia Antalgica e Terapia Intensiva
Minerva Anestesiologica 2008 October;74(10):565-7
Dilatative percutaneous tracheostomy during double antiplatelet therapy: two consecutive cases
Cabrini L., Bergonzi P. C., Mamo D., Dedola E., Colombo S., Morero S., Mucci M., Torri G.
Department of Intensive Care, San Raffaele Hospital and Vita-Salute University of Milan, Milan, Italy
This article reports two cases of dilatative percutaneous tracheostomy performed on patients treated with double antiplatelet therapy. Both patients had cardiac arrest following myocardial infarction. After primary angioplasty with stent placement, a double antiplatelet therapy was started. Due to poor neurological outcome, dilatative percutaneous tracheostomy was performed on both patients. Antiplatelet therapy was not discontinued because of the unacceptable risk of stent thrombosis. No immediate or late hemorrhagic complications occurred. In our experience, dilatative percutaneous tracheostomy during double antiplatelet therapy can be safely performed in selected patients without other risk factors.