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b ack surgery and plavix

mediqmmediq Posts: 1
what does one do when you need back surgery and are on plavix. the heart doctor says danger to be off and the back doctor will not operate on the drug.


  • hmm this is a catch 22. the plavix is important for your cardiac condition as it prevents platelet aggregation yet no surgeon will operate due to the major risk of bleeding.

    here in the uk, patients are put on plavix post myocardial infarction for up to 6 months.

    what is your plan with plavix (clopidogrel) with your heart doctor? if it is a short term medicine plan, once its finished then your back surgeon will operate dependant on how long you have been off it and your blood results.

    Sounds like you would benefit with both your cardiac doctor working in collaboration with your back surgeon to be able to discuss what can be done, unless this has already been done?

    sorry that i cant offer much in the way of advice, there maybe someone on here who may have been faced with this dilemma.

    all the best
    L5/s1 discectomy & decompression 2009
    ALIF l5/s1 2011
    Awaiting X-ray & consultant to see if fused, but experiencing a lot of pain again :( 2013
  • If you have had a drug-eluting stent, you should stay on plavix for 12 months (along with aspirin) or the risk of a clot in the stent (causing heart attack) is high.

    If it was a regular metal stent or some other reason, the risk after 4-6 weeks while still there, isn't as high, and along with your doctors, you could consider whether the risk of coming off the aspirin and plavix is worth the benefit of pain relief from surgery.
  • Even far back as the year 2000 even someone going for a cardiac cath Plavix was put on hold. But after this time Cardiologists found out that Plavix could still be used the day of an invasive procedure for the heart anyway. Your Cardiologist should be in contact with your Surgeon concerning continuing or discontinuing this medication. I hope it works out for you. Take care. Charry
    DDD of lumbar spine with sciatica to left hip,leg and foot. L4-L5 posterior disc bulge with prominent facets, L5-S1 prominent facets with a posterior osteocartilaginous bar. Mild bilateral foraminal narrowing c-spine c4-c7 RN
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