Serious Adverse Vascular Events Associated With Perioperative Interruption of Antiplatelet and Anticoagulant Therapy

Alam, Murad; Goldberg, Leonard Harry

doi:10.1046/j.1524-4725.2002.02085.x

Cited by 69 publications

(50 citation statements)

References 73 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Anticoagulant therapy is routinely continued when necessary because of increased morbidity and mortality with cessation. [4][5][6] Although hemorrhage and hematoma are the most common bleeding complications in skin surgery, other less common and rarely considered entities can occur after cutaneous surgery: true aneurysm, false aneurysm or pseudoaneurysm, and arteriovenous fistula. True aneurysms include outpouching of all layers of the vessel wall.…”

Section: Discussionmentioning

confidence: 99%

Pseudoaneurysm Formation and Repair After Mohs Micrographic Surgery

Dunbar

Hurst

2014

JAMA Dermatol

View full text Add to dashboard Cite

Most reported cases of pseudoaneurysm formation in the head and neck involve the superficial temporal artery and its branches, and they typically occur secondary to blunt force trauma. Our cases are unique in that they included 1 case of a superficial temporal lesion but also 2 cases outside this system: 1 of the lateral nasal artery and 1 of the angular artery. We propose operative repair as the treatment of choice for facial pseudoaneurysms that complicate dermatologic surgery.

show abstract

Section: Discussionmentioning

confidence: 99%

Pseudoaneurysm Formation and Repair After Mohs Micrographic Surgery

Dunbar

Hurst

2014

JAMA Dermatol

View full text Add to dashboard Cite

show abstract

“…Of these: five RCTs, 50-54 two observational cohorts, 38,55 nine case series, 56-64 and 33 case reports across 17 publications [65][66][67][68][69][70][71][72][73][74][75][76][77][78][79][80][81] investigated clopidogrel and ticlopidine therapy. Only two case series 82,83 and two case reports in a single publication 84 were identified for patients who had not undergone PCI. Table 1 shows the results for each criterion of the assessment of the quality for each included RCT.…”

Section: Quantity Of Research Availablementioning

confidence: 99%

“…[82][83][84] One reported a case series of 23 patients who were to undergo lithotripsy and who were taking antiplatelet therapy, owing to previous MI, coronary artery bypass graft (CABG), TIA, chronic atrial fibrillation or PAD. 83 Antiplatelet therapy was discontinued 8 days before lithotripsy and haemorrhagic and thromboembolic events were reported.…”

Section: Pad Stroke MI and Discontinuation For Non-pci Surgerymentioning

confidence: 99%

“…Finally, there were two case reports; both patients discontinued therapy 1 week prior to Mohs micrographic surgery (a technique using a microscope to ensure the complete removal of cancerous skin cells). 84 One patient with prior stroke and MI receiving ticlopidine suffered a deep vein thrombosis 36 hours post-surgery. The second patient had a history of atherosclerosis, CABG, aortic valve replacement and breast cancer and suffered a clotted prosthetic aortic valve 3 days post-surgery.…”

Section: Pad Stroke MI and Discontinuation For Non-pci Surgerymentioning

confidence: 99%

See 1 more Smart Citation

The effect of different treatment durations of clopidogrel in patients with non-ST-segment elevation acute coronary syndromes: a systematic review and value of information analysis

Rogowski

Burch²,

Palmer³

et al. 2009

Health Technol Assess

View full text Add to dashboard Cite

How to obtain copies of this and other HTA programme reports An electronic version of this publication, in Adobe Acrobat format, is available for downloading free of charge for personal use from the HTA website (www.hta.ac.uk). A fully searchable CD-ROM is also available (see below).Printed copies of HTA monographs cost £20 each (post and packing free in the UK) to both public and private sector purchasers from our Despatch Agents.Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per monograph and for the rest of the world £3 per monograph.You can order HTA monographs from our Despatch Agents:-fax (with credit card or official purchase order) -post (with credit card or official purchase order or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you either to pay securely by credit card or to print out your order and then post or fax it. Contact details are as follows: Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to Direct Mail Works Ltd and drawn on a bank with a UK address. Paying by credit cardThe following cards are accepted by phone, fax, post or via the website ordering pages: Delta, Eurocard, Mastercard, Solo, Switch and Visa. We advise against sending credit card details in a plain email. Paying by official purchase orderYou can post or fax these, but they must be from public bodies (i.e. NHS or universities) within the UK. We cannot at present accept purchase orders from commercial companies or from outside the UK. How do I get a copy of HTA on CD?Please use the form on the HTA website (www.hta.ac.uk/htacd.htm). Or contact Direct Mail Works (see contact details above) by email, post, fax or phone. HTA on CD is currently free of charge worldwide.The website also provides information about the HTA programme and lists the membership of the various committees. HTA NIHR Health Technology Assessment programmeT he Health Technology Assessment (HTA) programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care. The research findings from the HTA programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a key component of the 'National Knowledge Service'. The HTA programme is needs led in that it fills gaps in the evidence needed by the NHS. There are three routes to the start of projects. First is the commissioned route. Suggestions for research are actively sought from people working in t...

show abstract

“…4,5,21,28 Evidence-based recommendations have been proposed to deal with this complicated countermeasure in some less invasive procedures with lower risk of bleeding, such as dental procedures or cataract operations. [1][2][3][6][7][8][9][10][11][12][13][14][15][16][17][18][19][21][22][23][24][25]29,30,[32][33][34][35][36][37][38] However, procedures without discontinuation of antithrombotic treatment have received little attention, 39 and the perioperative period in neurosurgical procedures has also been less well studied. 20,26,27,31,[40][41][42] The present clinical study retrospectively analyzed a series of transsphenoidal surgeries performed without discontinuation of antithrombotic therapy for comparison with the same number of transsphenoidal surgeries performed in the absence of antithrombotic therapy.…”

mentioning

confidence: 99%

Sellar and parasellar tumor removal without discontinuing antithrombotic therapy

Ogawa

Tominaga

2015

JNS

View full text Add to dashboard Cite

results Gross-total removal of the tumor or total aspiration of the content of Rathke's cleft cyst was achieved in 13 patients, and subtotal removal was achieved in 1 patient with a small remnant in the cavernous sinus. No difference was found in intraoperative bleeding between the antithrombotic agent group and the control group (mean 255 ml vs 215 ml, Mann-Whitney U-test, p = 0.547), and no patient required transfusion. No difference was found in operation time between the antithrombotic agent group and the control group (167.8 minutes vs 150.0 minutes, Mann-Whitney U-test, p = 0.262). All patients were discharged on postoperative Day 12 without neurological deficits. coNclusioNs The present study suggests that discontinuation of antithrombotic therapy may be unnecessary before the typical transsphenoidal surgery. Large randomized clinical trials at multiple centers are needed to confirm these findings.

show abstract

Serious Adverse Vascular Events Associated With Perioperative Interruption of Antiplatelet and Anticoagulant Therapy

Abstract: Cutaneous surgeons should strongly consider perioperative continuation of patients' antithrombotic drugs. The final determination should be made by the surgeon after evaluation of the circumstances and, if necessary, consultation with other experts.

Cited by 69 publications

References 73 publications

Pseudoaneurysm Formation and Repair After Mohs Micrographic Surgery

Pseudoaneurysm Formation and Repair After Mohs Micrographic Surgery

The effect of different treatment durations of clopidogrel in patients with non-ST-segment elevation acute coronary syndromes: a systematic review and value of information analysis

Sellar and parasellar tumor removal without discontinuing antithrombotic therapy

Contact Info

Product

Resources

About