Clotblog with Dr Samuel GoldhaberView all posts »
Anticoagulation bridging: Another nail in the coffinNov 1, 2012 16:40 EDT
Siegal et al's recent study adds to the growing evidence that suggests that anticoagulation bridging at the time of surgery or colonoscopy not only fails to reduce thrombotic events but causes complications due to bleeding.
What are your thoughts on bridging?
Gallego P, Apostolakis S, Lip GYH. Bridging evidence-based practice and practice-based evidence in periprocedural anticoagulation. Circulation 2012; 126:1573-1576. Abstract.
Siegal D, Yudin J, Kaatz S, et al. Periprocedural heparin bridging in patients receiving vitamin K antagonists. Circulation 2012; 126:1630-1639. Abstract.