Hemorrhagic Complications of Direct Thrombin Inhibitors—Subarachnoid Hemorrhage During Dermabrasion for Scar Revision

Complications With New Oral Anticoagulants Dabigatran and Rivaroxaban in Cutaneous Surgery

“…To the authors' knowledge, there have been only 2 brief reports of dabigatran complications in the medical literature on cutaneous surgery 18,19 and no published data on rivaroxaban. In this study, the authors found that no patients taking dabigatran or rivaroxaban experienced severe or life-threatening hemorrhagic complications from cutaneous surgery.…”

“…13 Complications with dabigatran during cutaneous surgery have been discussed, with 1 report of an elderly patient on dabigatran in whom a subarachnoid hemorrhage developed during dermabrasion for scar revision. 19 However, it could not be determined whether the events were related. Another article briefly mentioned a patient on dabigatran in whom a hematoma developed after melanoma excision.…”

“…Another article briefly mentioned a patient on dabigatran in whom a hematoma developed after melanoma excision. 18 Currently, the published data on cutaneous surgery complications associated with these new oral anticoagulants are limited to 2 brief references on dabigatran 18,19 and none on rivaroxaban. With the continued advent of new blood-thinning medications, perioperative management of patients during cutaneous surgery will become even more complex.…”