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Table 3 Operative details and anticoagulation treatment during and after flap surgery

From: The prognostic role of extended preoperative hypercoagulability work-up in high-risk microsurgical free flaps: a single-center retrospective case series of patients with heterozygotic factor V Leiden thrombophilia

Flap#

Patient#

Type

Arterial

Venous

Intraop. anticoagulation

Postop. anticoagulation

1A

1.1

DIEP

IMA

1 × CV

500 IU

15,000 IU/24 h

2A

1.2

DIEP

IMA

1 × CV

500 IU

15,000 IU/24 h

3A

2.1

DIEP

IMA

1 × CV

500 IU

15,000 IU/24 h

4A

3.1

LD/PSC

AR

1 × CV

1000 IU

2 × 0.6 Enoxaparin

5A

4.1

VRAM

PA via GSV

1 × CV

500 IU Bolus/300 IU/h

20,000 IU/24 h/ASS 100 mg

6A

5.1

DIEP

IMA

1 × CV

500 IU Bolus/300 IU/h

2 × 0.4 Enoxaparin

7A

6.1

ALT

PTA

1 × GSV

500 IU

15,000 IU/24 h

8A

7.1

Gracilis

PTA

2 × CV

500 IU

2 × 0.3 Enoxaparin

9A

7.2

LD

PTA

1 × CV

500 IU

2 × 0.6 Enoxaparin

10A

7.3

VRAM

Two stage—AVL

500 IU Bolus/300 IU/h

25,000 IU/24 h

11A

8.1

DIEP

IMA

1 × CV

500 IU

20,000 IU/24 h

12A

9.3

LD

PTA

1 × CV

2000 IU

20,000 IU/24 h

13A

14.2

LD

ATA

1 × CV

500 IU

2 × 0.3 Enoxaparin

14A

15.2

LD

ATA

1 × CV

1000 IU

25,000 IU/24 h/100 mg ASS

1B

9.1

LD

One stage—AVL

1000 IU

20,000 IU/24 h/Arixtra 2.5 mg

2B

9.2

Gracilis

PTA

1 × CV

500 IU

2 × 0.3 Enoxaparin

3B

10.1

LD

PTA

2 × CV

500 IU Bolus/300 IU/h/500 mg ASS

15,000 IU/24 h

4B

11.1

ALT

PTA

1 × GSV/1 × CV

500 IU

2 × 0.4 Enoxaparin

5B

12.1

PSC

Two stage—AVL

1000 IU

2 × 0.4 Enoxaparin

6B

13.1

DIEP

IMA

1 × CV

500 IU

2 × 0.3 Enoxaparin

7B

13.2

DIEP

IMA

1 × CV

500 IU

2 × 0.3 Enoxaparin

8B

14.1

ALT

ATA

1 × CV

500 IU

15,000 IU/24 h

9B

15.1

LD

PTA via GSV

1 × CV

500 IU

15,000 IU/24 h

  1. A = Group A: hFVL diagnosis prior to free flap surgery
  2. B = Group B: hFVL diagnosis after free flap surgery
  3. ALT anterior lateral thigh flap, ASS Aspirin®, ATA Anterior Tibial Artery, AVL Arterio-Venous Loop, CV concomitant vein, DIEP Deep Inferior Epigastric Flap, GSV greater saphenous vein, h hour, IMA internal mammary artery, IU international unit, LD latissimus dorsi flap, LE lower extremity, mg milligram, PA popliteal artery, PSC parascapular flap, PTA posterior tibial artery, UE upper extremity, VRAM Vertical Rectus Abdominis Muscle Flap