Postoperative stroke after stopping warfarin for cutaneous surgery

被引：63

作者：

Schanbacher, CF

Bennett, RG

机构：

[1] Univ Calif Los Angeles, Sch Med, Los Angeles, CA 90024 USA

[2] Univ So Calif, Sch Med, Los Angeles, CA 90089 USA

来源：

DERMATOLOGIC SURGERY | 2000年 / 26卷 / 08期

关键词：

D O I：

10.1046/j.1524-4725.2000.00079.x

中图分类号：

R75 [皮肤病学与性病学];

学科分类号：

100206 ;

摘要：

BACKGROUND. TWO patients undergoing cutaneous surgery had thromboembolic strokes within 1 week after surgery. Both patients had been taking warfarin for prevention of thromboembolism and warfarin was stopped 3-7 days prior to surgery. OBJECTIVE. TO examine the rationale and problems associated with preoperative warfarin discontinuation. METHODS. Review of the medical literature. RESULTS. When warfarin is stopped prior to surgery and restarted soon after surgery, the patient is at increased risk for thromboembolism. Although it is commonly believed that continuing warfarin during surgery is associated with an increased bleeding risk, for cutaneous surgery, this risk is extremely low and can be easily managed. CONCLUSION. Warfarin should not be discontinued prior to cutaneous surgery because of the risk of thromboembolic stroke.

引用

页码：785 / 789

页数：5

共 54 条

[1]

Akiba S, 1998, BIOCHEM MOL BIOL INT, V46, P1243

[2]

ALTMAN R, 1991, J THORAC CARDIOV SUR, V101, P427

[3] Prospective evaluation of an index for predicting the risk of major bleeding in outpatients treated with warfarin [J].