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ABSTRACT: Background
Anticoagulant assumption is a concern in neurosurgical patient that implies a delicate balance between the risk of thromboembolism versus the risk of peri- and postoperative hemorrhage.Methods
We performed a survey among 129 different neurosurgical departments in Italy to evaluate practice patterns regarding the management of neurosurgical patients taking anticoagulant drugs. Furthermore, we reviewed the available literature, with the aim of providing a comprehensive but practical summary of current recommendations.Results
Our survey revealed that there is a lack of knowledge, mostly regarding the indication and the strategies of anticoagulant reversal in neurosurgical clinical practice. This may be due a lack of national and international guidelines for the care of anticoagulated neurosurgical patients, along with the fact that coagulation and hemostasis are not simple topics for a neurosurgeon.Conclusions
To overcome this issue, establishment of hospital-wide policy concerning management of anticoagulated patients and developed in an interdisciplinary manner are strongly recommended.
SUBMITTER: Prior A
PROVIDER: S-EPMC7927258 | biostudies-literature | 2021 Mar
REPOSITORIES: biostudies-literature
Prior Alessandro A Fiaschi Pietro P Iaccarino Corrado C Stefini Roberto R Battaglini Denise D Balestrino Alberto A Anania Pasquale P Prior Enrico E Zona Gianluigi G
BMC neurology 20210303 1
<h4>Background</h4>Anticoagulant assumption is a concern in neurosurgical patient that implies a delicate balance between the risk of thromboembolism versus the risk of peri- and postoperative hemorrhage.<h4>Methods</h4>We performed a survey among 129 different neurosurgical departments in Italy to evaluate practice patterns regarding the management of neurosurgical patients taking anticoagulant drugs. Furthermore, we reviewed the available literature, with the aim of providing a comprehensive b ...[more]