COMPARISON OF SCHEMES OF PERIOPERATIONAL ANTICOAGULATION IN ATRIAL FIBRILLATION PATIENTS DEMANDING FOR SURGERY
A literature review provided, on the usage of various schemes of perioperational anticoagulation therapy (ACT) in atrial fibrillation patients undergoing scheduled surgery. It is noted that clinicians quite often pass through a situation when patients taking ACT require invasive investigations and s...
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| Format: | Article |
| Language: | Russian |
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«SILICEA-POLIGRAF» LLC
2018-06-01
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| Series: | Кардиоваскулярная терапия и профилактика |
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| Online Access: | https://cardiovascular.elpub.ru/jour/article/view/738 |
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| author | L. N. Uddin M. A. Gabitova A. A. Sokolova N. S. Morozova D. A. Napalkov D. V. Vychuzhanin A. V. Egorov V. V. Fomin |
| author_facet | L. N. Uddin M. A. Gabitova A. A. Sokolova N. S. Morozova D. A. Napalkov D. V. Vychuzhanin A. V. Egorov V. V. Fomin |
| author_sort | L. N. Uddin |
| collection | DOAJ |
| description | A literature review provided, on the usage of various schemes of perioperational anticoagulation therapy (ACT) in atrial fibrillation patients undergoing scheduled surgery. It is noted that clinicians quite often pass through a situation when patients taking ACT require invasive investigations and surgery. Perioperational management of such category of patients is complicated as, on the one hand, the surgery under ACT is associated with intraoperational hemorrhagic complications, and, on the other hand, ACT cessation might increase the risk of thrombotic complications. The variants assessed, of different periprocedural ACT in patients taking vitamin K antagonists. It was found that as an alternative to continuous ACT recently, bridge therapy with low molecular weight heparins applied, aiming the decrease of the risk of bleeding in adequate thromboprophylaxis. The results of clinical trials provided on the assessment of bridge therapy in surgery. Risk stratification approaches presents for thromboembolic and hemorrhagic complications in surgery. |
| format | Article |
| id | doaj-art-676bfebf4a0449e98cc4ba50595c9134 |
| institution | DOAJ |
| issn | 1728-8800 2619-0125 |
| language | Russian |
| publishDate | 2018-06-01 |
| publisher | «SILICEA-POLIGRAF» LLC |
| record_format | Article |
| series | Кардиоваскулярная терапия и профилактика |
| spelling | doaj-art-676bfebf4a0449e98cc4ba50595c91342025-08-20T03:18:45Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252018-06-01173717810.15829/1728-8800-2018-3-71-78570COMPARISON OF SCHEMES OF PERIOPERATIONAL ANTICOAGULATION IN ATRIAL FIBRILLATION PATIENTS DEMANDING FOR SURGERYL. N. Uddin0M. A. Gabitova1A. A. Sokolova2N. S. Morozova3D. A. Napalkov4D. V. Vychuzhanin5A. V. Egorov6V. V. Fomin7I. M. Sechenov First Moscow State Medical University of the Ministry of HealthI. M. Sechenov First Moscow State Medical University of the Ministry of HealthI. M. Sechenov First Moscow State Medical University of the Ministry of HealthI. M. Sechenov First Moscow State Medical University of the Ministry of HealthI. M. Sechenov First Moscow State Medical University of the Ministry of HealthI. M. Sechenov First Moscow State Medical University of the Ministry of HealthI. M. Sechenov First Moscow State Medical University of the Ministry of HealthI. M. Sechenov First Moscow State Medical University of the Ministry of HealthA literature review provided, on the usage of various schemes of perioperational anticoagulation therapy (ACT) in atrial fibrillation patients undergoing scheduled surgery. It is noted that clinicians quite often pass through a situation when patients taking ACT require invasive investigations and surgery. Perioperational management of such category of patients is complicated as, on the one hand, the surgery under ACT is associated with intraoperational hemorrhagic complications, and, on the other hand, ACT cessation might increase the risk of thrombotic complications. The variants assessed, of different periprocedural ACT in patients taking vitamin K antagonists. It was found that as an alternative to continuous ACT recently, bridge therapy with low molecular weight heparins applied, aiming the decrease of the risk of bleeding in adequate thromboprophylaxis. The results of clinical trials provided on the assessment of bridge therapy in surgery. Risk stratification approaches presents for thromboembolic and hemorrhagic complications in surgery.https://cardiovascular.elpub.ru/jour/article/view/738atrial fibrillationanticoagulationbleedingsthromboembolic complicationsbridge therapy |
| spellingShingle | L. N. Uddin M. A. Gabitova A. A. Sokolova N. S. Morozova D. A. Napalkov D. V. Vychuzhanin A. V. Egorov V. V. Fomin COMPARISON OF SCHEMES OF PERIOPERATIONAL ANTICOAGULATION IN ATRIAL FIBRILLATION PATIENTS DEMANDING FOR SURGERY Кардиоваскулярная терапия и профилактика atrial fibrillation anticoagulation bleedings thromboembolic complications bridge therapy |
| title | COMPARISON OF SCHEMES OF PERIOPERATIONAL ANTICOAGULATION IN ATRIAL FIBRILLATION PATIENTS DEMANDING FOR SURGERY |
| title_full | COMPARISON OF SCHEMES OF PERIOPERATIONAL ANTICOAGULATION IN ATRIAL FIBRILLATION PATIENTS DEMANDING FOR SURGERY |
| title_fullStr | COMPARISON OF SCHEMES OF PERIOPERATIONAL ANTICOAGULATION IN ATRIAL FIBRILLATION PATIENTS DEMANDING FOR SURGERY |
| title_full_unstemmed | COMPARISON OF SCHEMES OF PERIOPERATIONAL ANTICOAGULATION IN ATRIAL FIBRILLATION PATIENTS DEMANDING FOR SURGERY |
| title_short | COMPARISON OF SCHEMES OF PERIOPERATIONAL ANTICOAGULATION IN ATRIAL FIBRILLATION PATIENTS DEMANDING FOR SURGERY |
| title_sort | comparison of schemes of perioperational anticoagulation in atrial fibrillation patients demanding for surgery |
| topic | atrial fibrillation anticoagulation bleedings thromboembolic complications bridge therapy |
| url | https://cardiovascular.elpub.ru/jour/article/view/738 |
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