Initiating and Managing Patients with Venous Thromboembolism on Anticoagulant Drugs: A Practical Overview
Semin intervent Radiol 2017; 34: 03-10 DOI: 10.1055/s-0036-1597758Several new oral anticoagulants have recently been approved for the treatment of venous thromboembolism (VTE). In this review, we discuss the currently approved drugs and the factors that influence the choice of anticoagulant in a given patient. Once anticoagulation is initiated, periodic monitoring of adequacy of anticoagulation may be necessary depending on the choice of anticoagulant and patient-related factors, such as renal function. Situations that may warrant need for monitoring and the tests available for this purpose are discussed. We review reversal of anticoagulation in urgent/emergent situations as well as perioperative anticoagulation interruption in the elective setting. The data on use of direct oral anticoagulants in patients with compromised renal function, obesity and bariatric surgery, and in the treatment of cancer-associated thrombosis are discussed. The review aims to provide the clinician with the essential information to allow effective and safe use of anticoagulants for the treatment of VTE. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents | Abstract | Full text
Source: Seminars in Interventional Radiology - Category: Radiology Authors: Kasthuri, Raj S. Moll, Stephan Tags: Review Article Source Type: research
More News: Bariatric Surgery | Cancer | Cancer & Oncology | Eating Disorders & Weight Management | Obesity | Oral Cancer | Radiology | Thrombosis