Hemothorax after chest tube insertion for pneumothorax as a complication of clopidogrel

• Authors: Gen Ohara , Katsunori Kagohashi , Koichi Kurishima , Kunihiko Miyazaki , Hiroaki Satoh
• Languages of publication: EN

Abstracts

EN

Hemorrhagic complications are recognized when anti-platelet agents are used during or after surgical procedures. We present a 69-year-old male patient who developed hemothorax after chest tube insertion for pneumothorax as a complication of clopidogrel and aspirin following ischemic heart disease. Hemothorax associated clopidogrel has rarely been reported and this is the first academic publication of this complication type following chest tube insertion shortly after the cessation of clopidogrel. Our case demonstrates the possibility of hemothorax when chest tube insertion is indicated under such conditions.

Keywords

EN

Hemothorax; Chest tube insertion; Complication; Clopidogrel

• Publisher: De Gruyter Open
• Journal: Open Medicine
• Year: 2013
• Volume: 8
• Issue: 4
• Pages: 406-409

Dates

published

1 - 8 - 2013

online

12 - 6 - 2013

Contributors

author

Gen Ohara

• Division of Respiratory Medicine, Mito Medical Center, University of Tsukuba, 310-0015, Mito, Ibaraki, Japan

author

Katsunori Kagohashi

• Division of Respiratory Medicine, Mito Medical Center, University of Tsukuba, 310-0015, Mito, Ibaraki, Japan

author

Koichi Kurishima

• Division of Respiratory Medicine, Mito Medical Center, University of Tsukuba, 310-0015, Mito, Ibaraki, Japan

author

Kunihiko Miyazaki

• Division of Respiratory Medicine, Mito Medical Center, University of Tsukuba, 310-0015, Mito, Ibaraki, Japan

author

Hiroaki Satoh

• Division of Respiratory Medicine, Mito Medical Center, University of Tsukuba, 310-0015, Mito, Ibaraki, Japan

References

• [1] Mood GR, Bhatt DL. Clopidogrel and risk for acute coronary events. Curr Atheroscler Rep 2007; 9: 401–408 http://dx.doi.org/10.1007/s11883-007-0052-1[Crossref]
• [2] Pollack CV Jr, Antman EM, Hollander JE; American College of Cardiology; American Heart Association. 2007 focused update to the ACC/AHA guidelines for the management of patients with ST-segment elevation myocardial infarction: implications for emergency department practice. Ann Emerg Med 2008; 52: 344–355 http://dx.doi.org/10.1016/j.annemergmed.2008.04.004[Crossref]
• [3] Trawick EP, Yachimski PS. Management of nonvariceal upper gastrointestinal tract hemorrhage: controversies and areas of uncertainty. World J Gastroenterol 2012; 18: 1159–1165 http://dx.doi.org/10.3748/wjg.v18.11.1159[Crossref][WoS]
• [4] Cook-Norris RH, Michaels JD, Weaver AL, et al. Complications of cutaneous surgery in patients taking clopidogrel-containing anticoagulation. J Am Acad Dermatol 2011; 65: 584–591 http://dx.doi.org/10.1016/j.jaad.2011.02.013[WoS][Crossref]
• [5] Chernoguz A, Telem DA, Chu E, Ozao-Choy J, Tammaro Y, Divino CM. Cessation of clopidogrel before major abdominal procedures. Arch Surg 2011; 146: 334–339 http://dx.doi.org/10.1001/archsurg.2011.23[Crossref][WoS]
• [6] Menger R, Telford G, Kim P, et al. Complications following thoracic trauma managed with tube thoracostomy. Injury 2012; 43: 46–50 http://dx.doi.org/10.1016/j.injury.2011.06.420[Crossref][WoS]
• [7] Yacovone ML, Kartan R, Bautista M. Intercostal artery laceration following thoracentesis. Respir Care 2010; 55: 1495–1498. [PubMed]
• [8] Garg R, Uretsky BF, Lev EI. Anti-platelet and anti-thrombotic approaches in patients undergoing percutaneous coronary intervention. Catheter Cardiovasc Interv 2007; 70: 388–406 http://dx.doi.org/10.1002/ccd.21204[Crossref]
• [9] Sharma S, Forrester JS. A novel regimen of alternate day clopidogrel would provide a cost-effective strategy to prevent very late stent thrombosis. Med Hypotheses 2012; 78: 166–170 http://dx.doi.org/10.1016/j.mehy.2011.10.018[Crossref][WoS]
• [10] Boulé S, Marquié C, Vanesson-Bricout C, et al. Clopidogrel increases bleeding complications in patients undergoing heart rhythm device procedures. Pacing Clin Electrophysiol 2012; 35: 605–611 http://dx.doi.org/10.1111/j.1540-8159.2012.03354.x[Crossref][WoS]
• [11] Haro Estarriol M, Alvarez Castillo LA, Baldó Padró X, Palou Rispau A, Rubio Garay M, Rubio Goday M. Bilateral hemothorax secondary to combined antiplatelet therapy with clopidogrel and acetylsalicylic acid. Arch Bronconeumol 2006; 42: 307–309 http://dx.doi.org/10.1157/13089544[Crossref]
• [12] Shennib H, Endo M, Benhameid O. A feasibility study of the safety and efficacy of a combined clopidogrel and aspirin regimen following off-pump coronary artery bypass grafting. Heart Surg Forum 2003: 6: 288–291 [PubMed]

Identifiers

DOI

10.2478/s11536-013-0166-5