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The management of anticoagulation before and after procedures
1Department of Medicine, Division of Internal Medicine, Jefferson Medical College, Philadelphia, Pennsylvania, USA. john.spandorfer@mail.tju.edu
The Medical Clinics of North America
|September 22, 2001
Abstract:
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.