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Anticoagulation "bridging" for patients with VTEFeb 26, 2010 12:50 EST
Anticoagulation bridging—for a variety of reasons, from cataract surgery to teeth cleaning—is a serious and potentially risky undertaking that can provoke a number of communication issues, including errors in dosage. With little data to support the success of bridging, how can we be sure that the benefits—reducing the frequency of thrombotic events—outweigh the risk of hemorrhagic complications? When should we bridge for this type of patient?
McBane RD, Wysokinski WE, Daniels PR, et al. Periprocedural anticoagulation management of patients with venous thromboembolism. Arterioscler Thromb Vasc Biol 2010; 30:442-448. Abstract.