Key result
There is no precise agreement on the best management of perioperative anticoagulation, which requires balancing the risk of thromboembolic events and operative bleeding.
There is currently no precise agreement on the optimal management of perioperative anticoagulation to balance thromboembolic and bleeding risks.
Requires individualized perioperative anticoagulation decisions amid uncertainty; leaves open standardized protocols from higher-level evidence.
With the increasing use of oral anticoagulation therapy the appropriate management of perioperative anticoagulation is of surgical importance. There is a delicate balance between the risk of a perioperative thromboembolic event and the risk of operative bleeding from anticoagulation. Whilst there are a range of options available to the clinician, there appears to be no precise agreement about how to best manage this problem.
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Dhinsa et al. (2011) conducted a review in Perioperative anticoagulation. Perioperative anticoagulation management was evaluated. There is no precise agreement on the best management of perioperative anticoagulation, which requires balancing the risk of thromboembolic events and operative bleeding.
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