Key result
Perioperative management of anticoagulation and antiplatelet drug therapy in foot and ankle surgery requires balancing thromboembolic risks and surgical complications.
Why the study?
How should anticoagulation and antiplatelet drug therapy be managed perioperatively in patients undergoing foot and ankle surgery?
How should anticoagulation and antiplatelet drug therapy be managed perioperatively in patients undergoing foot and ankle surgery?
This review provides expert guidance on the perioperative management of antithrombotic medications to balance thromboembolic and bleeding risks in foot and ankle surgery.
May guide individualized antithrombotic decisions in foot and ankle surgery; leaves open prospective trials for protocol standardization.
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.
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Miller et al. (2014) conducted a review in Foot and ankle surgery patients taking antithrombotic medication. Perioperative management of anticoagulation and antiplatelet drug therapy was evaluated. Perioperative management of anticoagulation and antiplatelet drug therapy in foot and ankle surgery requires balancing thromboembolic risks and surgical complications.
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