Аннотация:
A literature review provided, on the usage of various schemes of perioperational anticoagulation therapy (ACT) in atrial fibrillation patients undergoing scheduled surgery. It is noted that clinicians quite often pass through a situation when patients taking ACT require invasive investigations and surgery. Perioperational management of such category of patients is complicated as, on the one hand, the surgery under ACT is associated with intraoperational hemorrhagic complications, and, on the other hand, ACT cessation might increase the risk of thrombotic complications. The variants assessed, of different periprocedural ACT in patients taking vitamin K antagonists. It was found that as an alternative to continuous ACT recently, bridge therapy with low molecular weight heparins applied, aiming the decrease of the risk of bleeding in adequate thromboprophylaxis. The results of clinical trials provided on the assessment of bridge therapy in surgery. Risk stratification approaches presents
Уддин Л. Н.
Габитова М. А. Мария Александровна 1991-
Соколова А. А. Анастасия Андреевна 1983-
Морозова Н. С.
Напалков Д. А. Дмитрий Александрович 1975-
Вычужанин Д. В. Дмитрий Викторович 1980-
Егоров А. В.
Фомин В. В. Виктор Викторович 1978-
Uddin L. N.
Gabitova M. A. Mariya Aleksandrovna 1991-
Sokolova A. A. Anastasiya Andreevna 1983-
Morozova N. S.
Napalkov D. A. Dmitrij Aleksandrovich 1975-
Vy'chuzhanin D. V. Dmitrij Viktorovich 1980-
Egorov A. V.
Fomin V. V. Viktor Viktorovich 1978-
Comparison of schemes of perioperational anticoagulation in atrial fibrillation patients demanding for surgery
Текст визуальный непосредственный
Кардиоваскулярная терапия и профилактика
ООО "Силицея-Полиграф"
Т. 17, Вып. 3 С. 71-78
2018
Статья
Anticoagulation Atrial fibrillation Bleedings Bridge therapy Thromboembolic complications
A literature review provided, on the usage of various schemes of perioperational anticoagulation therapy (ACT) in atrial fibrillation patients undergoing scheduled surgery. It is noted that clinicians quite often pass through a situation when patients taking ACT require invasive investigations and surgery. Perioperational management of such category of patients is complicated as, on the one hand, the surgery under ACT is associated with intraoperational hemorrhagic complications, and, on the other hand, ACT cessation might increase the risk of thrombotic complications. The variants assessed, of different periprocedural ACT in patients taking vitamin K antagonists. It was found that as an alternative to continuous ACT recently, bridge therapy with low molecular weight heparins applied, aiming the decrease of the risk of bleeding in adequate thromboprophylaxis. The results of clinical trials provided on the assessment of bridge therapy in surgery. Risk stratification approaches presents