From the Guidelines
Aspirin Management for VATS
Aspirin is typically not held before a VATS (Video-Assisted Thoracic Surgery) procedure, as the risk of bleeding is not significantly increased [ 1 ]. In fact, the ACC/AHA 2007 guidelines suggest that preoperative aspirin use may not increase the risk of bleeding complications [ 1 ].
- The decision to hold aspirin should be based on the patient's individual risk factors, such as the risk of cardiovascular events, and the surgeon's preference.
- Some studies suggest that low-dose aspirin may be continued perioperatively, as the benefits of aspirin in preventing cardiovascular events may outweigh the risks of bleeding [ 1 ].
- However, it's essential to consult with the patient's healthcare provider or the surgical team for specific guidance on managing aspirin and other anticoagulant medications before the procedure.
- In general, if aspirin is to be withheld preoperatively, it should be stopped 7 to 10 days before surgery [ 1 ].
Overall, the management of aspirin before VATS should be individualized, taking into account the patient's specific risk factors and the potential benefits and risks of aspirin therapy [ 1 ].
From the Research
Aspirin and Video-Assisted Thoracic Surgery (VATS)
- There is no direct evidence in the provided studies regarding the management of aspirin for patients undergoing Video-Assisted Thoracic Surgery (VATS) 2, 3, 4, 5, 6.
- The studies primarily focus on the techniques, indications, and outcomes of VATS compared to traditional open thoracotomy, without discussing perioperative medication management such as aspirin use 2, 3, 4, 5, 6.
Perioperative Management in VATS
- While the provided studies do not address aspirin use specifically, they do discuss various aspects of VATS, including its benefits, surgical techniques, and postoperative outcomes 2, 3, 4, 5, 6.
- For example, one study compares the mean operative time and blood transfusion requirements between VATS and thoracotomy, finding that VATS results in shorter operative times and less blood transfusion 3.
- Another study presents a 13-year experience with VATS lobectomy, highlighting its safety and technical feasibility for major lung resections 5.
Lack of Direct Evidence on Aspirin Use
- Given the absence of direct evidence on aspirin management in the context of VATS, it is not possible to provide a definitive answer based on the provided studies 2, 3, 4, 5, 6.
- Clinical decisions regarding aspirin use in patients undergoing VATS would need to be guided by other sources, such as clinical guidelines or studies specifically addressing perioperative anticoagulation management.