Pulmonary artery re-thrombosis following interruption of anti-thrombotic therapy for bilateral carpal tunnel release surgery: An update of current protocols
- Title
- Pulmonary artery re-thrombosis following interruption of anti-thrombotic therapy for bilateral carpal tunnel release surgery: An update of current protocols
- Author
- 김정태
- Keywords
- Carpal tunnel syndrome; Massive pulmonary embolism; Anti-thrombotic therapy for hand surgery
- Issue Date
- 2013-06
- Publisher
- Elsevier
- Citation
- Journal of plastic, reconstructive & aesthetic surgery, 2013, 66(7), P.999 - 1002
- Abstract
- In the perioperative period, patients who are under anti-thrombotic therapy should be managed with care, although there is no clear consensus on this matter. For hand surgery, several authors have advocated no interruption of the anti-thrombotic therapy, but the choice differs between institutes according to protocols and surgeons' preference. We report a case of massive pulmonary embolism after stopping warfarin for carpal tunnel release in a patient with a previous history of pulmonary embolism. Although the patient recovered after thrombolytic therapy and intensive care unit (ICU) care, this case has struck the authors as a valuable lesson. In managing anti-thrombotic therapy, we should weigh the risks and benefits of the patients carefully before making a decision.
- URI
- https://asp-eurasipjournals.springeropen.com/articles/10.1186/1687-6180-2012-11https://repository.hanyang.ac.kr/handle/20.500.11754/69889
- ISSN
- 1748-6815
- DOI
- 10.1016/j.bjps.2012.11.029
- Appears in Collections:
- COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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