Perioperative considerations in free flap surgery: A review of pressors and anticoagulation

Mark K. Wax, James Azzi

Research output: Contribution to journalArticlepeer-review

11 Scopus citations


Given the high stakes for microvascular reconstruction, the majority of reconstructive surgeons have developed paradigms for pre, intra, and postoperative management that have proven to result in individual high success rates. Much has been done to identify and avoid perioperative factors that could potentially increase flap failure rates. Two example of this practice has been the generalized use of anticoagulation in free tissue transfer and the prohibition against vasopressor use in patients that are undergoing free tissue transfer. This manuscript will discuss these issues.

Original languageEnglish (US)
Pages (from-to)154-157
Number of pages4
JournalOral Oncology
StatePublished - Aug 2018


  • Anticoagulation
  • Head and neck cancer
  • Microvascular reconstruction
  • Reconstruction
  • Vassopressor

ASJC Scopus subject areas

  • Oral Surgery
  • Oncology
  • Cancer Research


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