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Efficacy of a two-test protocol for achieving a therapeutic response to clopidogrel prior to elective endovascular intracranial aneurysm treatment and an 'induced' postoperative hyper-response.

Yasha KadkhodayanJosser E Delgado AlmandozJennifer L FeaseAnna M MilnerJill M ScholzMaximilian Mulder
Published in: Journal of neurointerventional surgery (2016)
The protocol achieves in-range preoperative PRU by the second test in almost nine of 10 patients. Nearly two-thirds of patients exhibited postoperative hyper-response to clopidogrel. Out-of-range PRU was not associated with thromboembolic or hemorrhagic neurological complications in this cohort of patients with actively managed P2Y12 inhibition.
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