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Balancing the risk of complications in foot and ankle surgical patients taking antithrombotic medication.

Steven Miller, Diane Nitzki-George, Joseph A Caprini

Journal: Foot & ankle specialist 2015;7(6):507-14

PMID: 25053792

Full Text on Atypon View on PubMed

Abstract

UNLABELLED

This review intends to provide guidance regarding perioperative management of anticoagulation and antiplatelet drug therapy as they relate to foot and ankle surgery. Venous and arterial thromboembolism are conditions in which the blood clots inappropriately, causing considerable morbidity and mortality. With an increase in awareness of thromboembolic risk factors and expansion of therapeutic options, more patients are routinely taking antithrombotic medication. When these patients require invasive procedures, a decision needs to be made if antithrombotic medication should be held perioperatively and if additional precautions are needed in the interim. Understanding the factors affecting the management of thromboembolism during the perioperative period can reduce the potential for complications.

LEVELS OF EVIDENCE

Therapeutic, Level V: Expert opinion.

© 2014 The Author(s).

Address: Skokie Foot & Ankle Specialists, Skokie, Illinois (SM)Thrombosis and Anticoagulation Unit of Glenbrook Hospital, NorthShore University HealthSystem, Glenview, Illinois (DNG)Division of Vascular Surgery, NorthShore University HealthSystem, Evanston, Illinois (JAC) [email protected].; Skokie Foot & Ankle Specialists, Skokie, Illinois (SM)Thrombosis and Anticoagulation Unit of Glenbrook Hospital, NorthShore University HealthSystem, Glenview, Illinois (DNG)Division of Vascular Surgery, NorthShore University HealthSystem, Evanston, Illinois (JAC).
DOI: 10.1177/1938640014543356

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MeSH Terms: Ankle Injuries, Anticoagulants, Antithrombins, Blood Coagulation, Factor Xa Inhibitors, Fibrinolytic Agents, Foot Injuries, Humans, Orthopedic Procedures, Perioperative Care, Platelet Activation, Platelet Aggregation Inhibitors, Risk Assessment, Thromboembolism, Vitamin K
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