Tranexamic acid in high-risk shoulder arthroplasty patients: safety across thromboembolic, cardiac, renal, and neurologic risk profiles - Report - MDSpire

Tranexamic acid in high-risk shoulder arthroplasty patients: safety across thromboembolic, cardiac, renal, and neurologic risk profiles

  • By

  • Tarishi Parmar

  • Akin Adio

  • Asim Handy

  • Mohammad Daher

  • Alec Kellish

  • Adam Khan

  • Joseph Abboud

  • July 3, 2026

  • 0 min

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Clinical Report: Safety of Tranexamic Acid in Shoulder Arthroplasty Patients

Overview

This study evaluates the safety of tranexamic acid (TXA) in shoulder arthroplasty patients with elevated thromboembolic, cardiac, renal, and neurological risks.

Background

Shoulder arthroplasty is associated with significant perioperative blood loss, which can lead to complications such as postoperative anemia and increased transfusion rates. Tranexamic acid has been shown to effectively reduce blood loss and transfusion requirements in various surgical settings. However, concerns regarding its safety in high-risk patients remain, necessitating further investigation into its use in this population.

Data Highlights

No numerical data provided in the source material.

Key Findings

  • TXA effectively reduces perioperative bleeding and transfusion requirements in shoulder arthroplasty.
  • Concerns exist regarding TXA's safety in patients with preexisting thromboembolic, cardiac, renal, or neurological conditions.
  • Prior studies have primarily focused on healthier cohorts, leaving a gap in safety data for high-risk patients.
  • This study utilizes a large national database to assess TXA safety across various high-risk profiles.
  • The hypothesis was that TXA would not be associated with increased complication rates in high-risk populations.

Clinical Implications

Further research is needed to confirm these results.

Conclusion

The study provides insights into the safety of TXA in high-risk shoulder arthroplasty patients.

Related Resources & Content

  1. Archives of Orthopaedic and Trauma Surgery (Springer), 2026 -- Tranexamic acid reduces transfusion requirements after pelvic osteotomy: a nationwide propensity score-matched analysis
  2. Archives of Orthopaedic and Trauma Surgery (Springer), 2022 -- Exclusion of Tranexamic Acid Does Not Lead to Increased Perioperative Blood Transfusion Rates in Patients Undergoing One-Level Spinal Fusion: A Retrospective Noninferiority Analysis with Propensity Score Matching
  3. Archives of Orthopaedic and Trauma Surgery (Springer), 2026 -- Venous thromboembolism prophylaxis in total shoulder arthroplasty: a matched cohort analysis
  4. Obesity Surgery, 2026 -- Effectiveness of Prophylactic Doses of Tranexamic Acid in Reducing Hemorrhagic Events in Bariatric Surgery: A Systematic Review and Meta-Analysis
  5. Evidence review for safety of tranexamic acid during surgery - NCBI Bookshelf, 2026
  6. Tranexamic acid administration in total shoulder arthroplasty: a systematic review and meta-analysis - PMC, 2025
  7. Safety of Tranexamic Acid in Hip and Knee Arthroplasty in High-risk Patients - PubMed, 2021
  8. Evidence review for safety of tranexamic acid during surgery - NCBI Bookshelf
  9. Tranexamic acid administration in total shoulder arthroplasty: a systematic review and meta-analysis - PMC
  10. Safety of Tranexamic Acid in Hip and Knee Arthroplasty in High-risk Patients - PubMed

Original Source(s)

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