New algorithm for periprocedural anticoagulation management in nonvalvular Afib
Access to the full content of this site is available only to registered healthcare professionals.
Register to read more
Managing anticoagulation in patients with atrial fibrillation (Afib) undergoing surgical procedures is an ongoing challenge across specialties, and this consensus algorithm offers step-by-step guidance.
Focused on patients with nonvalvular Afib for whom anticoagulation is a clinical indication and who are having elective surgeries.
Summary graphic included in paywalled article.
Algorithm addresses key decision points:
--Whether to interrupt: Evaluate bleed risk (eg, HAS-BLED), use clinical judgment; if risk low, no need to interrupt. If high, decide when to interrupt.
--When to interrupt: Consider anticoagulant, kidney function, internal normalized ratio (INR). INR determines time frame for interruption (eg, at goal INR=might di...