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How I Do It: Anticoagulation management for common urologic procedures
Lydia Glick1, Thenappan Chandrasekar, Scott G Hubosky
1Department of Urology, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
The Canadian Journal of Urology
|December 16, 2020
Summary
Managing antithrombotic medications during urologic surgery requires balancing bleeding and thrombosis risks. This guide offers a systematic approach to perioperative antithrombotic counseling for urologists.
Area of Science:
- Urology
- Cardiology
- Pharmacology
Background:
- Perioperative management of antithrombotic medications is crucial for balancing bleeding and thrombosis risks.
- Recent advancements in antithrombotic therapies have outpaced clear guidelines for their use in urologic surgery.
Purpose of the Study:
- To present a systematic approach to perioperative antithrombotic counseling for urologic procedures.
- To provide guidance on the timing of stopping and restarting anticoagulant and antiplatelet therapy.
Main Methods:
- Developed practice guidelines in consultation with Vascular Medicine service.
- Reviewed current literature on antithrombotic management during urologic surgery.
- Outlined a systematic method for antithrombotic management and multidisciplinary consultation.
Main Results:
- Lack of clear guidelines for managing anticoagulant and antiplatelet therapy during urologic surgery.
- New antithrombotic therapies require careful perioperative management.
- A systematic approach can increase urologist comfort and knowledge.
Conclusions:
- A systematic approach to perioperative antithrombotic management is essential for urologic surgery.
- Multidisciplinary consultation is often necessary for complex cases.
- These guidelines aim to improve patient safety and outcomes by standardizing medication management.
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