Anticoagulation orale chez les patients cardiaques qui necessitent une intervention chirurgicale elective: quelle attitude adopter? [Oral anticoagulants in cardiac patients undergoing elective surgical procedures: what attitude to adopt?]

Détails

ID Serval
serval:BIB_329B5C7BACB6
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Anticoagulation orale chez les patients cardiaques qui necessitent une intervention chirurgicale elective: quelle attitude adopter? [Oral anticoagulants in cardiac patients undergoing elective surgical procedures: what attitude to adopt?]
Périodique
Revue Médicale Suisse
Auteur⸱e⸱s
Yerly  P., Schapira  M., Vogt  P.
ISSN
1660-9379 (Print)
Statut éditorial
Publié
Date de publication
05/2005
Volume
1
Numéro
21
Pages
1412-4, 1416-7
Notes
English Abstract
Journal Article
Review --- Old month value: May 25
Résumé
Clinicians are often required to decide how to manage patients receiving long-term anticoagulant therapy, and who need a surgical procedure. The decisions are based on the perceived risk of continuing or stopping the treatment. Generally, warfarin must be stopped before all interventions at high risk of bleeding, but can be maintained unchanged before oral and skin surgery. For patients with a high risk of thromboembolism, heparin should be administered preoperatively, when the INR is <2. The estimation of this risk depends largely on the undelying heart disease. In the postoperative phase, the restarting of anticoagulant therapy must be weighed against both thromboembolic and hemorragic risks.
Mots-clé
Administration, Oral Anticoagulants/administration & dosage/adverse effects/*therapeutic use Decision Making Heart Diseases/*complications Hemorrhage/etiology/prevention & control Humans Risk Factors *Surgical Procedures, Elective Thromboembolism/etiology/prevention & control
Pubmed
Création de la notice
25/01/2008 15:27
Dernière modification de la notice
20/08/2019 13:18
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