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Are you more permissive of perioperative interruption of anticoagulation for VTE depending on the location and relative chronicity of the thrombus?

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For patients with a recent VTE who need a procedure/surgery requiring anticoagulation interruption, what is your usual approach to bridging?

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1 Answer
Mednet Member
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Hematology · BIDMC
Answered on

Yes - in general, I try to balance the relative urgency/importance of the procedure or surgery v. the thrombotic risk to the patient of a period of time off of anticoagulation. Location and chronicity both can feed into determining thrombotic risk. An upper extremity DVT, in general, has a lower rec...

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