Friday, April 14, 2017

Q; 58 year old male with history of coronary stents and atrial fibrillation, and on chronic therapy of aspirin, warfarin and Clopidogrel is in ICU again with chest pain. In unrelated clinical scenario, urologist has been consulted and they planned for ureteral stent. Anti-coagulation therapy Should be held till 

 A) INR less than 2 
B) Instead of warfarin, Clopidogrel should be held 
C) No medicine should be held 
D) Advise urology service to avoid ureteral stent 
E) All drugs should be held atleast 48 hours prior to procedure

Answer: C

Actually,  no drug either antiplatelet, or anticoagulation need to be held prior to ureteral stent placement. Although urine should be quickly checked to rule out urinary tract infection.

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