title: Anticoagulation therapy in microsurgery: a review.
abstract: The advent of microsurgical tissue transfer including replantation greatly has expanded the scope of reconstructive surgery. There are few recent innovations in anticoagulation therapies for microsurgery, however, and anastomotic thrombosis remains an occasional cause of surgical failure. No consensus exists on the ideal anticoagulation protocol for microsurgery. This article reviews major pharmacologic modalities of anticoagulation, delineates the mechanism of action and study of efficacy of each agent, and compares the risks and benefits of popular anticoagulation therapies. Finally, it examines available human outcomes-based data and attempts to provide a glimpse of the future direction of microsurgical anticoagulation research.
authors.affiliation: Division of Plastic and Reconstructive Surgery, University of Southern California, Los Angeles, CA, USA.
authors.forename: Morad
authors.initials: M
authors.lastname: Askari
authors.forename: Christine
authors.initials: C
authors.lastname: Fisher
authors.forename: Frederick G
authors.initials: FG
authors.lastname: Weniger
authors.forename: Sean
authors.initials: S
authors.lastname: Bidic
authors.forename: W P Andrew
authors.initials: WP
authors.lastname: Lee
mesh_terms: D000818:Animals; D000925:Anticoagulants / Q000008:administration & dosage*; D006225:Hand / Q000601:surgery; D006801:Humans; D008866:Microsurgery; D012092:Replantation; D013524:Surgical Flaps / Q000098:blood supply; D013927:Thrombosis / Q000517:prevention & control*
chemical_list: D000925:Anticoagulants