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
- 김연환
- Keywords
- Carpal tunnel syndrome; Massive pulmonary embolism; Anti-thrombotic therapy for hand surgery
- Issue Date
- 2013-07
- Publisher
- ELSEVIER SCIENCE B.V.AMSTERDAM
- 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. (C) 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
- URI
- http://www.jprasurg.com/article/S1748-6815(12)00660-2/fulltexthttp://hdl.handle.net/20.500.11754/52431
- ISSN
- 1748-6815
- DOI
- 10.1016/j.bjps.2012.11.029
- Appears in Collections:
- COLLEGE OF MEDICINE[S](의과대학) > ETC
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