A Call to Reduce the Use of Bridging Anticoagulation

Adam J. Rose, Arthur L. Allen, Tracy Minichello

نتاج البحث: نشر في مجلةمقالة مرجعيةمراجعة النظراء

ملخص

Because of the recent publication of several important studies, there has been a major change in how we think about perioperative management of anticoagulation. Because of these changes, existing consensus guidelines are suddenly out of date and can no longer be used as is, particularly the 2012 American College of Chest Physicians Antithrombotic Guidelines, version 9. We estimate that well over 90% of patients receiving warfarin therapy should not receive bridging anticoagulation during periprocedural interruptions of therapy, except under unusual circumstances and with appropriate justification. Accumulating evidence also suggests that bridging is not indicated among patients receiving direct-Acting oral anticoagulant therapy. The large number of patients potentially affected represents an important safety concern and requires an immediate change in practice.

اللغة الأصليةإنجليزيّة أمريكيّة
الصفحات (من إلى)64-67
عدد الصفحات4
دوريةCirculation: Cardiovascular Quality and Outcomes
مستوى الصوت9
رقم الإصدار1
المعرِّفات الرقمية للأشياء
حالة النشرنُشِر - 1 يناير 2016
منشور خارجيًانعم

All Science Journal Classification (ASJC) codes

  • !!Cardiology and Cardiovascular Medicine

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