Anticoagulación con bemiparina tras hemorragia intracerebral como complicación de endocarditis bacteriana sobre válvula protésica metálica

Morente, A Muñoz; Ramos, M A Barón; Fernández, S. Mateos; Palmero, S. López; Jiménez, J. Villar; Iglesias, J.

doi:10.4321/s0212-71992004001100007

Cited by 3 publications

(1 citation statement)

References 4 publications

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“…Sixteen cases have been described in the antibiotic era in French, English, or Spanish language [1–13]. Predisposing conditions were found frequently, which included intravenous drug use in 6 cases [4, 7, 9–11], prior native valve disease in 4 cases ([5, 9], present case), and prosthetic valve in 1 case [3]. Endocarditis was located on the tricuspid valve in 4 of the 5 intravenous drug users, and was complicated with pulmonary embolisms in all of them [7, 9, 11].…”

Section: Discussionmentioning

confidence: 99%

Neisseria siccaEndocarditis Complicated by Intracranial and Popliteal Aneurysms in a Patient with a Bicuspid Aortic Valve

Debellemanière

Chirouze

Hustache‐Mathieu

et al. 2013

Case Reports in Infectious Diseases

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We report a case of infective endocarditis due to Neisseria sicca complicated by intracranial and popliteal aneurysms and hepatic and splenic infarcts in a patient with a bicuspid aortic valve. No predisposing factor other than poor dental condition was found. The patient fully recovered after antibiotic therapy, aortic and mitral valve replacement, endovascular occlusion of the middle-cerebral artery aneurysm, and surgical treatment of the popliteal artery aneurysm.

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Section: Discussionmentioning

confidence: 99%

Neisseria siccaEndocarditis Complicated by Intracranial and Popliteal Aneurysms in a Patient with a Bicuspid Aortic Valve

Debellemanière

Chirouze

Hustache‐Mathieu

et al. 2013

Case Reports in Infectious Diseases

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Oral anticoagulant therapy in patients with mechanical heart valve and intracranial haemorrhage

Micieli¹,

Ageno²,

Squizzato³

et al. 2009

Thromb Haemost

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SummaryOptimal timing for restarting anticoagulant therapy after intracranial bleeding is a critical issue. The purpose of this systematic review is to summarize published studies on the management of oral anticoagulant therapy after intracranial bleeding secondary to the use of vitamin K antagonists in patients with a mechanical heart valve. A computer-assisted search of the MEDLINE and EMBASE electronic databases till January 2008 was performed. Two investigators independently performed study selection and completed a predefined quality assessment and data extraction form. Main inclusion criterion was the enrolment of patients with a mechanical heart valve and intracranial haemorrhage during oral anticoagulant treatment. Any randomised controlled trial, observational cohort study, case series and reports was included. No randomised controlled trials were identified. Six observational cohort studies were included in the final analysis. All studies were of low quality. A total of 120 patients were enrolled. Anticoagulation was restarted within a broad time range (2 days to 3 months). Four ischaemic strokes and two recurrent cerebral haemorrhages occurred after anticoagulation was restarted after a mean follow-up of 7.9 months. Eighteen patients were described in the selected case reports. Anticoagulant therapy was restarted within four days to eight weeks. Two patients had a recurrent haemorrhagic event, and no ischaemic events were reported. In conclusion, restarting oral anticoagulant therapy few days and, indirectly, stopping anticoagulant therapy for a few days (even for 7–14 days) after the occurrence of cerebral haemorrhage are both safe. However, well-designed studies are strongly recommended to provide better evidence.

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Restarting Oral Anticoagulant in Patients with Mechanical Heart Valve(s) and Intracranial Haemorrhage

Alkherayf¹

2012

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Anticoagulación con bemiparina tras hemorragia intracerebral como complicación de endocarditis bacteriana sobre válvula protésica metálica

Cited by 3 publications

References 4 publications

Neisseria siccaEndocarditis Complicated by Intracranial and Popliteal Aneurysms in a Patient with a Bicuspid Aortic Valve

Neisseria siccaEndocarditis Complicated by Intracranial and Popliteal Aneurysms in a Patient with a Bicuspid Aortic Valve

Oral anticoagulant therapy in patients with mechanical heart valve and intracranial haemorrhage

Restarting Oral Anticoagulant in Patients with Mechanical Heart Valve(s) and Intracranial Haemorrhage

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