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Research ArticleArticles

Guidelines for perioperative antithrombotic therapy in hair restoration surgery: management of patients with coronary heart disease, mechanical heart valve, and atrial fibrillation

Kuniyoshi Yagyu
Hair Transplant Forum International March 2012, 22 (2) 59-64; DOI: https://doi.org/10.33589/22.2.0059
Kuniyoshi Yagyu
Tokyo, Japan
MD
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  • For correspondence: nhttkyo11{at}kioicho.jp
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    Figure 1.

    Coronary artery stent. Photo provided courtesy of St. Jude Medical Co. in Japan.

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    Figure 2.

    3-dimensional computerized tomographic angiogram of a patient with coronary stent implantation. White triangles indicate coronary artery stent in the left anterior descending coronary artery. Abbreviation: Ao, aorta; LAD, left anterior descending artery; LCx, left circumflex artery.

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    Figure 3.

    An example of a mechanical prosthetic heart valve. Photo provided courtesy of St. Jude Medical Co. in Japan.

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    Figure 4.

    An example of a thrombosed mechanical heart valve. Stuck valve cannot open or close completely, which causes severe stenosis and regurgitation of the valve and results in severe acute heart failure requiring reoperation with high mortality.

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    Flow Chart 1.

    Risk of Cardiovascular Events and Control of Antithrombotic Therapy

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    Flow Chart 2.

    Coronary Artery Disease and Antiplatelet Drug

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    Flow Chart 3.

    Atrial Fibrillation and Anticoagulant Drug

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    Flow Chart 4.

    Control of Anticoagulant in Atrial Fibrillation

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    Table 1.

    Effect and half-life of antiplatelet drugs

    Antiplatelet DrugEffectHalf-life
    aspirinirreversible
    ticlopidineirreversible
    clopidogrelirreversible
    icosapentatereversible326 hours
    dipyridamolereversible25 minutes
    cilostazolreversible18 hours
    beraprost (PG I2)reversible45-57 minutes
    limaprost (PG E2)reversible27 minutes
    The average life span of a platelet is normally 5 to 10 days. PG: prostaglandin
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International Society of Hair Restoration Surgery: 22 (2)
Hair Transplant Forum International
Vol. 22, Issue 2
March/April 2012
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Guidelines for perioperative antithrombotic therapy in hair restoration surgery: management of patients with coronary heart disease, mechanical heart valve, and atrial fibrillation
Kuniyoshi Yagyu
Hair Transplant Forum International Mar 2012, 22 (2) 59-64; DOI: 10.33589/22.2.0059

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Guidelines for perioperative antithrombotic therapy in hair restoration surgery: management of patients with coronary heart disease, mechanical heart valve, and atrial fibrillation
Kuniyoshi Yagyu
Hair Transplant Forum International Mar 2012, 22 (2) 59-64; DOI: 10.33589/22.2.0059
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