Why the study?
Guidance is limited for managing patients who are acutely initiated on antiplatelet therapy with an epidural catheter in situ.
Early removal of indwelling epidural catheters before maximal platelet inhibition is reached may reduce the risk of epidural hematoma in patients requiring emergent antiplatelet therapy for acute myocardial infarction.
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May guide individualized decisions with indwelling epidurals and emergent antiplatelets; leaves open need for prospective data.
Murin et al. (2025) studied this question.
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