Aspirin in Patients Undergoing Neurosurgery: A long time controversy
DOI:
https://doi.org/10.25305/unj.318910Keywords:
brain tumour, cerebrovascular surgery, spinal surgery, aspirin, neurosurgery, postoperative complications, bleeding riskAbstract
Aspirin is frequently used to prevent ischemia episodes, either directly or indirectly. Chronic aspirin use can also increase intraoperative blood loss and have an impact on blood clot development during surgery. This is particularly crucial for neurosurgery and other high-risk surgeries. There is currently no clinical evidence to support the European Society of Cardiology's recommendation that aspirin be stopped for at least a week prior to neurosurgical intervention. In addition to summarizing current clinical data on bleeding risk associated with chronic aspirin therapy in neurosurgical patients, including brain tumour surgery, cerebrovascular procedures, and spinal surgery, this narrative review presents evidence that casts doubt on the need for aspirin interruption in neurosurgical patients. It also discusses options for aspirin effect monitoring and the clinical implications of these methods.
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