Record Details

Management of Traumatic Intracranial Hemorrhage on Anticoagulant Regiment: A Literature Review

International Islamic Medical Journal

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Field Value
 
Title Management of Traumatic Intracranial Hemorrhage on Anticoagulant Regiment: A Literature Review
 
Creator Apriawan, Tedy
Kartosen, Ade Anugrah
Ishlahy, Ahmad Z. S.
Broto, Endang Pati
Herjuna, Hana Ranu
Permana, Khrisna Rangga
Meizikri, Rizki
Drehem, Shaleh
Bajamal, Abdul Hafid
 
Subject oral anticoagulant
antiplatelet
TBI
intracranial hemorrhage
 
Description Oral anticoagulant and antiplatelet are often prescribed in clinical practice. These drugs are mainly consumed by geriatric patients to prevent or treat cerebrovascular, systemic embolism, or heart condition.  Managing anticoagulated TBI patients is a challenging task for surgeons. This study aims to review available literatures regarding anticoagulated TBI patients and to suggest a treatment algorithm for such cases. Based on several retrospective and prospective studies, it might be wasteful to do a routine follow-up CT scan on anticoagulated TBI patients. The risk of new lesion development or presenting lesion progression seems to be especially low among patients with negative initial CT scan. We suggest to reserve repeat CT scan for patients with evident neurological deterioration. Tighter observation for anticoagulated patients with positive initial CT scan might be useful. Anticoagulation reversal is recommended by the American College of Cardiology, but some studies reported that reversal should be directed by INR. Acute antiplatelet cessation is still controversial for aspirin, but it is advised for clopidogrel. Preoperative management of both anticoagulant and antiplatelet should take into account the bleeding risk of the surgical procedure. Blind cessation and reversal of anticoagulant and/or antiplatelet might delay the timing of surgery and thus would better be avoided
 
Publisher UNUSA Press
 
Date 2020-09-01
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
 
Format application/pdf
 
Identifier https://journal2.unusa.ac.id/index.php/IIMJ/article/view/1611
10.33086/iimj.v1i2.1611
 
Source International Islamic Medical Journal; Vol. 1 No. 2 (2020): June; 74-88
Jurnal Medis Islam Internasional; Vol 1 No 2 (2020): June; 74-88
2716-2389
2716-2370
10.33086/iimj.v1i2
 
Language eng
 
Relation https://journal2.unusa.ac.id/index.php/IIMJ/article/view/1611/1178
 
Rights Copyright (c) 2020 Tedy, Ade, Ahmad, Endang, Ranu, Khrisna, Rizki, Shaleh, Hafid
https://creativecommons.org/licenses/by-sa/4.0