Key result
The review systematizes approaches to the perioperative management of anticoagulants and antiplatelet drugs to prevent bleeding and minimize thromboembolic complications.
Why the study?
Perioperative antithrombotic management requires a multidisciplinary approach to balance bleeding risks against thromboembolic complications in high-risk patients, prompting the systematization of international guideline recommendations into practical clinical algorithms.
This review synthesizes international guidelines to provide practical algorithms for balancing bleeding and thrombotic risks during the perioperative management of antithrombotic therapy.
May inform perioperative antithrombotic decisions; extends guideline synthesis but leaves open prospective validation.
The management of antithrombotic drugs in the perioperative period requires a multidisciplinary approach with the participation of the operating surgeon, anesthesiologist, and a responsible physician. In the guidelines of the leading specialized associations of France, Italy, Spain, Great Britain, USA, Poland, the recommendations of the European Society of Anesthesiologists, the American College of Thoracic Physicians and other world professional organizations the approaches have been systematized to the management of anticoagulants (vitamin K and direct antagonists, including new oral anticoagulants), the safety of the antiplatelet drugs using in the perioperative period to prevent increased bleeding and minimize thromboembolic complications after invasive procedures in patients with a high risk of cardiovascular events. We have provided algorithms for convenient perception of information and memorization and subsequent implementation them in clinical practice.
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Тарасенко et al. (2021) conducted a review in Patients requiring perioperative management of antithrombotic therapy. Perioperative management of anticoagulant and antiplatelet therapy was evaluated. The review systematizes approaches to the perioperative management of anticoagulants and antiplatelet drugs to prevent bleeding and minimize thromboembolic complications.
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