The management of anticoagulation before and after procedures

被引:62
作者
Spandorfer, J [1 ]
机构
[1] Thomas Jefferson Univ, Jefferson Med Coll, Dept Med, Div Internal Med, Philadelphia, PA 19107 USA
关键词
D O I
10.1016/S0025-7125(05)70366-7
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Patients maintained on warfarin for atrial fibrillation, mechanical heart valves, or deep venous thrombosis may occasionally need to stop their anticoagulation during invasive procedures. This article reviews the literature on bleeding risks of certain procedures, thrombosis risks of stopping anticoagulation, and heparin and warfarin pharmacokinetics. Recommendations regarding how to manage anticoagulated patients are discussed.
引用
收藏
页码:1109 / +
页数:9
相关论文
共 34 条
[1]   PROLONGED ANTITHROMBIN ACTIVITY OF LOW-MOLECULAR-WEIGHT HEPARINS - CLINICAL IMPLICATIONS FOR THE TREATMENT OF THROMBOEMBOLIC DISEASES [J].
AGNELLI, G ;
IORIO, A ;
RENGA, C ;
BOSCHETTI, E ;
NENCI, GG ;
OFOSU, FA ;
HIRSH, J .
CIRCULATION, 1995, 92 (10) :2819-2824
[2]  
Allen MB, 1990, NEUROLOGICAL SURG, P833
[3]  
BAUDET EM, 1985, J THORAC CARDIOV SUR, V90, P137
[4]   THROMBOEMBOLIC AND BLEEDING COMPLICATIONS IN PATIENTS WITH MECHANICAL HEART-VALVE PROSTHESES [J].
CANNEGIETER, SC ;
ROSENDAAL, FR ;
BRIET, E .
CIRCULATION, 1994, 89 (02) :635-641
[5]  
COLLIGNON F, 1995, THROMB HAEMOSTASIS, V73, P630
[6]   OCULAR SURGERY ON PATIENTS RECEIVING LONG-TERM WARFARIN THERAPY [J].
GAINEY, SP ;
ROBERTSON, DM ;
FAY, W ;
ILSTRUP, D .
AMERICAN JOURNAL OF OPHTHALMOLOGY, 1989, 108 (02) :142-146
[7]   Rebound after cessation of oral anticoagulant therapy: The biochemical evidence [J].
Genewein, U ;
Haeberli, A ;
Straub, PW ;
Beer, JH .
BRITISH JOURNAL OF HAEMATOLOGY, 1996, 92 (02) :479-485
[8]   Comparison of 5-mg and 10-mg loading doses in initiation of warfarin therapy [J].
Harrison, L ;
Johnston, M ;
Massicotte, MP ;
Crowther, M ;
Moffat, K ;
Hirsh, J .
ANNALS OF INTERNAL MEDICINE, 1997, 126 (02) :133-136
[9]   Duration of anticoagulant therapy after first episode of venous thrombosis in patients with inherited thrombophilia [J].
Hirsh, J ;
Kearon, C ;
Ginsberg, J .
ARCHIVES OF INTERNAL MEDICINE, 1997, 157 (19) :2174-2177
[10]  
HIRSH J, 1995, CHEST S, V108, P231