Perioperative primary stroke: Is aspirin cessation to blame?

Research output: Contribution to journalReview articlepeer-review

11 Scopus citations


BACKGROUND. There are a number of reports in the literature of patients developing thrombotic events after stopping medically necessary antiplatelet and antithrombotic agents. OBJECTIVE. The objective was to determine whether discontinuation of aspirin taken for primary prophylaxis contributes to the development of thrombotic complications in patients undergoing dermatologic surgery. METHODS. A case is reported and the literature is reviewed. RESULTS. We present the first reported case of a postoperative thrombotic event following dermatologic surgery in a patient withholding aspirin that was taken for primary prophylaxis. CONCLUSION. We believe that the available data make it difficult to implicate aspirin discontinuation in the development of each thrombotic event, given the high baseline risk of thrombotic events in the Mohs surgery patient population and the low risk of developing such events when medications are withheld perioperatively.

Original languageEnglish (US)
Pages (from-to)1526-1528
Number of pages3
JournalDermatologic Surgery
Issue number12 II
StatePublished - Dec 1 2004

ASJC Scopus subject areas

  • Surgery
  • Dermatology


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