Delayed periorbital hemorrhage in oculoplastic surgery patients on oral anticoagulants
Autor: | Stuart R. Seiff, Viraj J. Mehta, Lilly H. Wagner, Elizabeth A. Bradley, Isaiah Giese |
---|---|
Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
Surgical complication business.industry Administration Oral Anticoagulants Postoperative Hemorrhage Surgery 03 medical and health sciences Ophthalmology 0302 clinical medicine Risk Factors Antithrombotic 030221 ophthalmology & optometry medicine Humans In patient 030223 otorhinolaryngology Complication business |
Zdroj: | Orbit. 40:150-154 |
ISSN: | 1744-5108 0167-6830 |
Popis: | Periorbital hemorrhage is a potentially sight threatening surgical complication. The effect of new oral anticoagulants (NOACs) on hemorrhagic events after periorbital surgery has not been investigated. We describe four cases of severe delayed postoperative hemorrhage associated with NOACs, in addition to three cases in patients on traditional antithrombotic agents. Time of delayed hemorrhage ranged from postoperative day 2 to 6. Six patients required surgical intervention to achieve control of bleeding, and two patients required transfusion of blood products. Risk factors and management of this rare complication are discussed. |
Databáze: | OpenAIRE |
Externí odkaz: |