Management of Periprocedural Anticoagulation: A Survey of Contemporary Practice

Greg C. Flaker, Paul Theriot, Lea G. Binder, Paul P. Dobesh, Adam Cuker, John U. Doherty

Research output: Contribution to journalReview article

17 Scopus citations

Abstract

Interruption of oral anticoagulation (AC) for surgery or an invasive procedure is a complicated process. Practice guidelines provide only general recommendations, and care of such patients occurs across multiple specialties. The availability of direct oral anticoagulants further complicates decision making and guidance here is limited. To evaluate current practice patterns in the United States for bridging AC, a survey was developed by the American College of Cardiology Anticoagulation Work Group. The goal of the survey was to assess how general and subspecialty cardiologists, internists, gastroenterologists, and orthopedic surgeons currently manage patients who receive AC and undergo surgery or an invasive procedure. The survey was completed by 945 physicians involved in the periprocedural management of AC. The results provide a template for educational and research projects geared toward the development of clinical pathways and point-of-care tools to improve this area of health care.

Original languageEnglish (US)
Pages (from-to)217-226
Number of pages10
JournalJournal of the American College of Cardiology
Volume68
Issue number2
DOIs
Publication statusPublished - Jul 12 2016

    Fingerprint

Keywords

  • atrial fibrillation
  • direct-acting oral anticoagulant
  • parenteral anticoagulation
  • vitamin K antagonists

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this