n South African Journal of Surgery - Peri-operative anticoagulant therapy - the case for an uninterrupted dose-adjusted warfarin regimen in the high-risk patient : editorial
|Article Title||Peri-operative anticoagulant therapy - the case for an uninterrupted dose-adjusted warfarin regimen in the high-risk patient : editorial|
|© Publisher:||Medpharm Publications|
|Journal||South African Journal of Surgery|
|Publication Date||Aug 2006|
|Pages||84 - 86|
Extracted from text ... 84 It is generally held that the need for bridging therapy with heparin, when patients on long-term warfarin therapy interrupt their treatment during the peri-operative period, will depend on the patient's risk of thrombo-embolism on the one hand and the risk of bleeding on the other. Although the optimal peri-operative anticoagulant management in patients with a mechanical prosthetic heart valve has not been determined on the basis of well-designed prospective randomised trials, several practical guidelines for clinicians have nevertheless been proposed.1-5 A refined approach is summarised briefly in Table I. From these recommendations it would seem that despite the ..
Article metrics loading...