What factors would influence your decision to use or avoid heparin bridging in patients with mechanical heart valves resuming anticoagulation after intracerebral hemorrhage?
In light of a publication by Sakusic et al., PMID 39102615 suggests an increased risk of ICH expansion in patients with heparin bridge compared to starting warfarin alone.
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Do you plan to start coumadin without heparin bridge in patients with acute, but stable ICH and a mechanical heart valve?
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1 Answer
Mednet MemberInvited Expert
Neurology · Johns Hopkins University School of Medicine
Answered on
The main conclusion from the publication by Sakusic et al., PMID 39102615 was that withholding anticoagulation for the first seven days after ICH is safe in patients with mechanical heart valves and bridging with intravenous heparin to coumadin upon resumption of anticoagulation should be avoided. T...
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