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Comment
. 2013 Apr;34(4):730-4.
doi: 10.3174/ajnr.A3440. Epub 2012 Dec 20.

Platelet-function testing in patients undergoing neurovascular procedures: caught between a rock and a hard place

J Comin  1 , D F Kallmes
Affiliations
Comment

Platelet-function testing in patients undergoing neurovascular procedures: caught between a rock and a hard place

J Comin et al. AJNR Am J Neuroradiol. 2013 Apr.

Abstract

In the context of neurointerventional procedures, clopidogrel hyper-responsiveness has been associated with hemorrhage; on the other hand, clopidogrel resistance has been associated with thromboembolism. This might seem to make a compelling argument in favor of routine platelet testing. Our reading of the literature leads us to conclude that routine platelet testing in neurointerventional procedures is not, unfortunately, ready for prime time.

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References

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