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- W4311585298 abstract "The decision to continue or to stop oral anticoagulant therapy in the peri-interventional period is based on the evaluation of bleeding risk associated with the invasive procedure or with the anaesthetic technique, especially when a deep nerve block or a neuraxial block is planned, and on the evaluation of patient-associated risk factors. Anticoagulant bridging during the preoperative period as well as an early resumption of anticoagulation in the postoperative period are associated with increased bleeding rates without reduction of thromboembolic events, thus limiting the indications of bridging to patients with chronic vitamin K agonist therapy and a high thrombotic risk.La décision de poursuivre ou d’arrêter un traitement anticoagulant oral en période péri-interventionnelle se base sur l’évaluation du risque hémorragique en lien avec le geste invasif ou la technique anesthésique, en particulier lorsqu’une anesthésie locorégionale profonde ou neuraxiale est envisagée, et sur l’évaluation des pathologies du patient. Un relais anticoagulant en préopératoire, tout comme la reprise précoce de l’anticoagulation en postopératoire, expose le patient à un risque hémorragique qui, le plus souvent, surpasse le risque thrombotique, limitant l’indication des relais anticoagulants aux patients traités par antivitamine K au long cours et à haut risque thrombotique." @default.
- W4311585298 created "2022-12-27" @default.
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- W4311585298 date "2022-01-01" @default.
- W4311585298 modified "2023-10-16" @default.
- W4311585298 title "Gestion péri-interventionnelle des anticoagulants oraux. Limiter le risque hémorragique en situation élective" @default.
- W4311585298 doi "https://doi.org/10.53738/revmed.2022.18.807.2323" @default.
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