Antithrombotics Deemed Safe in Carpal Tunnel Release Surgery

Share this content:
Antithrombotics Deemed Safe in Carpal Tunnel Release Surgery
Antithrombotics Deemed Safe in Carpal Tunnel Release Surgery

TUESDAY, Dec. 5, 2017 (HealthDay News) -- For patients undergoing wide-awake carpal tunnel release (CTR) surgery, antithrombotic (AT) agents may be safely continued, according to a research letter published online Nov. 29 in JAMA Surgery.

Sarah E. Sasor, M.D., from Indiana University in Indianapolis, and colleagues conducted a retrospective study of wide-awake CTR procedures. Patients were classified as those taking oral AT agents at the time of surgery and those who were naive to AT agents. A total of 304 CTR procedures were performed on 246 patients during the study period; 32.6 percent of patients were taking prescribed AT agents at the time of surgery.

Ninety-three of the 99 patients taking AT medication continued their normal regimen through surgery and were included in the analysis. The researchers found that there were no significant differences for the AT and non-AT groups for estimated blood loss (3.94 versus 3.89 mL; P = 0.87) or operative time (22 versus 23 minutes; P = 0.38). The AT and non-AT groups had similar rates of postoperative complications (5.4 versus 4.9 percent; P > 0.99). There were no reports of hematomas or neurological complications; no patients required reoperation.

"There are few reports on the effects of AT on elective hand surgery, and to our knowledge, this study is the first to provide evidence that AT medications may be safely continued in wide-awake CTR with or without a tourniquet," the authors write.

Abstract/Full Text (subscription or payment may be required)

Share this content:

is free, fast, and customized just for you!




Already a member?

Sign In Now »

Drug Lookup

Browse drugs by: BrandGenericDisease



Sign up for myCME e-newsletters




More in Home

Some California Mosquitoes Can Carry Zika Virus

Some California Mosquitoes Can Carry Zika Virus

Aedes aegypti mosquitoes found to transmit Zika virus

Periodontal Inflammation a Risk With Tongue Piercing

Periodontal Inflammation a Risk With Tongue Piercing

And, two young females with tongue piercings have deep lingual infrabony lesions, periodontitis

Risk of OD Highest for First Days of Opioid  Benzodiazepine Use

Risk of OD Highest for First Days of ...

Five-fold increased risk of opioid-related overdose during first 90 days of concurrent use

is free, fast, and customized just for you!




Already a member?

Sign In Now »