What are your considerations for peri-operative anticoagulation in patients with a mechanical heart valve undergoing a major noncardiac surgery?
Please comment on bridging.
Answer from: at Academic Institution
For a patient with a modern (e.g St Jude bi-leaflet) mechanical valve (with or without AF) and who does NOT have a h/o of stroke or TIA, the available evidence suggests that "bridging" may have more risk than benefit: See Kovacs et al., PMID 34108229 and Siegal et al., PMID 22912386. Based on t...
Comments
at Roswell Park Cancer Institute University at Buffalo That is helpful Dr. @David Garcia.
In what circum...
at John Theurer Cancer Center Hackensack Univ Med Center What about DOACs?
That is helpful Dr. @David Garcia. In what circum...
What about DOACs?