Microsurgery in the hypercoagulable patient: review of the literature.

Abstract

Improved techniques in microvascular surgery over the last several decades have led to the increased use of free tissue transfers as a mode of reconstructing difficult problems with a high success rate. However, undiagnosed thrombophilias have been associated with microsurgery free flap failures. We present a case of successful free tissue transfer in a patient with lupus anticoagulant and review the literature.

• Authors: Fernando Antonio Herrera, Charles K Lee, Gil Kryger, Jason Roostaeian, Bauback Safa, Robert F Lohman, Lawrence J Gottlieb, Robert L Walton
• Journal: Journal of reconstructive microsurgery (J Reconstr Microsurg) Vol. 28 Issue 5 Pg. 305-12 (Jun 2012) ISSN: 1098-8947 [Electronic] United States
• PMID: 22547257 (Publication Type: Case Reports, Journal Article, Review)
• Copyright: Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Chemical References

• Anticoagulants
• Dextrans
• Lupus Coagulation Inhibitor
• Warfarin

Topics

• Accidents, Traffic
• Adult
• Algorithms
• Anticoagulants (therapeutic use)
• Dextrans (therapeutic use)
• Free Tissue Flaps
• Humans
• Lower Extremity (injuries, surgery)
• Lupus Coagulation Inhibitor (blood)
• Male
• Microsurgery
• Motorcycles
• Muscle, Skeletal (transplantation)
• Venous Thrombosis (etiology, prevention & control)
• Warfarin (therapeutic use)