Perioperative management of oral anticoagulation

Cardiology Clinics
Martin O'Donnell, Clive Kearon

Abstract

Based on an individual assessment of risk factors for arterial or venous thrombosis and the risk of postoperative bleeding, this article outlines the preoperative and postoperative approach to anticoagulant management. Preceding this is a brief description of the therapies most commonly used in the perioperative period. The prevention of arterial thromboembolism is considered separately from the prevention of venous thrombosis. Perioperative management of anticoagulation can cause anxiety for patients, surgeons, anesthetists, and those who manage long-term anticoagulant therapy. Good communication between all of these parties is essential to ensure that an optimal management strategy is identified and executed.

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Citations

Feb 27, 2009·Journal of Thrombosis and Thrombolysis·Erik P KraaiDavid Garcia
Nov 26, 2009·AJR. American Journal of Roentgenology·Stacy D O'ConnorThomas C Winter
Apr 27, 2013·Journal of Surgical Education·Edward A McGillicuddyWalter E Longo
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Nov 27, 2014·The British Journal of Ophthalmology·K-L Kong, J Khan
Jul 27, 2015·Thoracic Surgery Clinics·Mathew Thomas, K Robert Shen
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Dec 2, 2010·The Journal of the American Academy of Orthopaedic Surgeons·Nikhil A ThakurMark A Palumbo

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