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BMC Neurology
Published in: BMC Neurology 1/2021

Open Access 01-12-2021 | Central Nervous System Trauma | Research article

How do you manage ANTICOagulant therapy in neurosurgery? The ANTICO survey of the Italian Society of Neurosurgery (SINCH)

Authors: Alessandro Prior, Pietro Fiaschi, Corrado Iaccarino, Roberto Stefini, Denise Battaglini, Alberto Balestrino, Pasquale Anania, Enrico Prior, Gianluigi Zona

Published in: BMC Neurology | Issue 1/2021

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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.
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Metadata
Title
How do you manage ANTICOagulant therapy in neurosurgery? The ANTICO survey of the Italian Society of Neurosurgery (SINCH)
Authors
Alessandro Prior
Pietro Fiaschi
Corrado Iaccarino
Roberto Stefini
Denise Battaglini
Alberto Balestrino
Pasquale Anania
Enrico Prior
Gianluigi Zona
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Neurology / Issue 1/2021
Electronic ISSN: 1471-2377
DOI
https://doi.org/10.1186/s12883-021-02126-7

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