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Critical evaluation on proper antithrombotic treatment in different groups of patients undergoing vascular surgery

Konstantinos Filis1, Costas Tsioufis2, Argyri Sianou3

  • 1First Department of Propedeutic Surgery, Hippocration Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece.

Hellenic Journal of Cardiology : HJC = Hellenike Kardiologike Epitheorese
|May 4, 2018
PubMed

Insights

Antithrombotic treatments like anticoagulants and antiplatelets have updated guidelines for vascular surgery patients. This review clarifies current recommendations for peripheral artery disease, carotid disease, and abdominal aortic aneurysm management.

Area of Science:

  • Vascular Surgery
  • Pharmacology
  • Cardiovascular Medicine

Background:

  • Antithrombotic therapy is crucial for patients undergoing vascular surgery.
  • Guidelines for anticoagulants and antiplatelets have evolved significantly.
  • Management strategies differ based on specific vascular conditions.

Purpose of the Study:

  • To critically evaluate current antithrombotic treatment recommendations.
  • To compare recent guidelines with older protocols.
  • To provide practical insights for clinical decision-making in vascular surgery.

Main Methods:

  • Mini-review of existing literature and guidelines.
  • Analysis of recommendations for peripheral artery disease, carotid disease, and abdominal aortic aneurysm.
  • Comparative assessment of evolving antithrombotic strategies.

Main Results:

  • Significant differences exist between current and past antithrombotic guidelines.
  • Indications for anticoagulants and antiplatelets vary across different vascular pathologies.
  • Updated recommendations aim to optimize patient outcomes.

Conclusions:

  • Current antithrombotic guidelines offer improved management strategies for vascular surgery patients.
  • Understanding guideline nuances is essential for tailoring treatment to specific vascular conditions.
  • This review synthesizes data to support evidence-based clinical practice.

Keywords:
AnticoagulantAntiplatelet treatmentAntithrombotic treatmentVascular surgery

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