Perioperative Management of Anticoagulation

In North America, there are currently more than one million people with mechanical prosthetic heart valves, chronic atrial fibrillation, or a history of venous thromboembolism who are receiving long-term oral anticoagulation therapy with warfarin (CoumadinĀ®). Perioperative management of the chronically anticoagulated patient is challenging, and the medical team should operate between the fine line of hemorrhagicĀ versus thromboembolic complications.

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