gms | German Medical Science

79th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

30.04. - 04.05.2008, Bonn

Haemostatic abnormalities in patients with vascular malformations

Meeting Abstract

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  • corresponding author Susanne Wiegand - ENT Department, Philipps-University of Marburg, Marburg, Germany
  • author Behfar Eivazi - ENT Department, Philipps-University of Marburg, Marburg, Germany
  • author Jochen Werner - ENT Department, Philipps-University of Marburg, Marburg, Germany

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. 79th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Bonn, 30.04.-04.05.2008. Düsseldorf, Köln: German Medical Science; 2008. Doc08hno56

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/hno2008/08hno56.shtml

Published: July 8, 2008

© 2008 Wiegand et al.
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Outline

Text

Background: There is a high risk of perioperative bleeding complications in patients with advanced vascular malformations of the head and neck. Therefore the aim of this study was to assess coagulation disorders in patients with vascular malformations of the head and neck.

Patients and methods: In ten patients with vascular malformations of the head and neck haemostatic tests including prothrombin time, aPTT, fibrinogen level, platelet count, PFA-Epi and -ADP (PFA-100®), von Willebrand factor and D-dimers were prospectively evaluated.

Results: In 6 of 10 patients an impaired primary haemostasis was detected by prolonged PFA-Epi, one of these patients had a slightly prolonged PFA-ADP, too. One patient had a mild von Willebrand factor deficiency which was not detected by PFA-100®.

Conclusion: The existence of haemostatic disorders should be considered in the perioperative treatment of patients with vascular malformations of the head and neck.