Perioperative anticoagulant management in patients with atrial fibrillation: practical implications of recent clinical trials.

Perioperative anticoagulant management in patients with atrial fibrillation: practical implications of recent clinical trials. Pol Arch Med Wewn. 2015 Aug 26; Authors: Tafur A, Douketis JD Abstract Defining the safest perioperative anticoagulation management approach for patients who are receiving chronic anticoagulant therapy stroke prevention has been a challenging and longstanding dilemma, especially for patients with atrial fibrillation who constitute the most common patient group receiving long term anticoagulation. Using a case-based format we summarize the findings of recent clinical trials which have helped to informed best practices for perioperative anticoagulant management in patients with atrial fibrillation and provide an algorithmic management approach to this problem. We have done so by exploring the evidence to address 3 key questions: Is it necessary to interrupt anticoagulation for a procedure? How to estimate a patient's risk for perioperative thromboembolism and bleeding? If anticoagulation interruption is required, is bridging anticoagulation needed? PMID: 26307106 [PubMed - as supplied by publisher]
Source: Polskie Archiwum Medycyny Wewnetrznej - Category: Internal Medicine Tags: Pol Arch Med Wewn Source Type: research