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Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
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[Peri-interventional management of platelet aggregation inhibition and anticoagulation in urology]

Bernd Krabbe1, Katharina Beckmann2, Laura-Maria Krabbe3

  • 1Herz-Kreislauf-Medizin/Angiologie, UKM Marienhospital Steinfurt, Mauritiusstraße 5, 48565, Steinfurt, Deutschland. bernd.krabbe@ukm-mhs.de.

Urologie (Heidelberg, Germany)
|August 4, 2022
PubMed

Perioperative management of anticoagulation in patients receiving long-term anticoagulation or platelet aggregation inhibitors requires an individual consideration of competing risks. If the risk for bleeding is low, anticoagulation can often be continued. If it is necessary to pause anticoagulation, the necessity and dosage of bridging must be determined based on the individual risk of thromboembolism. Only patients with a high risk of thromboembolism should receive bridging in the full therapeutic dosage. The timing of pausing anticoagulation depends on the risk of bleeding from the urological intervention and the renal function of the patient. Platelet aggregation inhibitors should not be discontinued in the first month after coronary stent implantation, especially after acute coronary syndrome.

Keywords:
Bleeding riskBridgingCoronary stent implantationPerioperative careThromboembolism

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