Wound Healing Complications With Tranexamic Acid: Not the Silver Bullet After All.

作者：Suma Yalamanchili, Andrew S. Frankel, Ben Talei, Babak Azizzadeh, André Auersvald · 发表于：Aesthetic surgery journal · 年份：2023 · DOI：10.1093/asj/sjad177 · 被引用次数：26 · 研究领域：Medicine

Tranexamic acid (TXA) has been popularized as an adjunct to decrease the risk of bleeding and subsequent bruising and edema in aesthetic surgery. The most notable risks of TXA are thrombus and seizures, which are associated with higher plasma concentrations. In an effort to mitigate these risks, surgeons have begun using TXA locally; either as a topical irrigation or mixed into the local anesthetic. While local use is thought to be safer from a side effect standpoint, as there is decreased systemic absorption, its use is not without risk. We present 4 patients who developed wound healing complications thought to be related to locally administered TXA. One patient had TXA delivered topically, and 3 patients had TXA mixed into their local anesthetic. These adverse events have not been published in the literature previously. This case report serves as a warning to other surgeons about using locally administered TXA.