Perioperative Elective Management in Patients Treated with Direct Oral Anticoagulants – Practical Guide

Introduction: Despite clear, relatively easy-to-use guidance, many clinicians find the perioperative management of direct oral anticoagulants (DOACs) challenging. Inappropriate antithrombotic management can delay procedures and lead to bleeding or thromboembolic complications.Aim: We aimed to describe perioperative management practices related to planned procedures regarding DOACs in accordance with the applicable guidelines of cardiological and surgical societies.Results: Perioperative management of DOAC therapy depends on many factors, and recommendations in the guidelines are not consistent.Conclusions: The best approach to managing these patients is therefore to strike a balance between the risks of bleeding and thromboembolism.