Research ArticleORIGINAL RESEARCH
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Safety and Feasibility of Percutaneous Gastrostomy Placement in Patients on Antiplatelet Therapy

Richard Tramel, Tyler Sandow, Daniel April and Vijay Ramalingam
Ochsner Journal June 2021, 21 (2) 158-162; DOI: https://doi.org/10.31486/toj.20.0048

Article Figures & Data

Figures

  • Figure.
    Figure.

    Bleeding complication percentages following gastrostomy tube placement. Patients who were not taking any antiplatelet therapy are labeled as none. Patients on dual antiplatelet therapy are labeled as aspirin and clopidogrel.

Tables

  • Table 1.

    Patient Demographics and Clinical Information (n=237)

    VariableValue
    Mean age, years (range)67.9 (23-99)
    Sex
     Male119 (50.2)
     Female118 (49.8)
    Radiologically inserted gastrostomy tube type
     Push145 (61.2)
     Pull92 (38.8)
    Any antiplatelet therapy77 (32.5)
    Single antiplatelet therapy55 (23.2)
     Aspirin alone29 (12.2)
     Clopidogrel alone26 (11.0)
    Dual antiplatelet therapy22 (9.3)
    Aspirin regimen
     81 mg34 (14.3)
     325 mg17 (7.2)

    • Note: Data are presented as n (%) unless otherwise indicated.

  • Table 2.

    Bleeding Complications Following Radiologically Inserted Gastrostomy Tube Placement (n=237)

    Classificationan (%)
    Minor7 (3.0)
     A2 (0.8)
     B5 (2.1)
    Major2 (0.8)
     D2 (0.8)
    Overall9 (3.8)

    • ↵aComplications are categorized based on the Society of Interventional Radiology clinical practice guidelines.9 Minor complications (type A or B) are those that require no intervention or nominal therapy. Major complications (type C, D, E, or F) are those that result in administration of blood products, procedural intervention, or increased length of hospital stay.

  • Table 3.

    Association of Bleeding Complications (n=9) With Demographic and Clinical Variables

    Number (Percentage)
    Variable/ComparisonWith Bleeding ComplicationsP Value
    Sex4 (3.4) vs 5 (4.2)0.72
    Male (n=119) vs female (n=118)
    Radiologically inserted gastrostomy tube type
    Push (n=145) vs pull (n=92)3 (2.1) vs 6 (6.5)0.85
    Antiplatelet therapy (n=77) vs no antiplatelet therapy (n=160)5 (6.5) vs 4 (2.5)0.15
    Single antiplatelet therapy (n=55) vs dual antiplatelet therapy (n=22)4 (7.3) vs 1 (4.5)0.65
    Aspirin (n=29) vs clopidogrel (n=26)3 (10.3) vs 1 (3.8)0.34
    Aspirin (n=29) vs dual antiplatelet therapy (n=22)3 (10.3) vs 1 (4.5)0.43
    Aspirin regimen
    81 mg (n=34) vs 325 mg (n=17)2 (5.9) vs 2 (11.8)0.47
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