Chapter 15. Bridging Anticoagulation in Patients Who Require Temporary Interruption of Warfarin for Surgery

  1. Mark A. Crowther MD, MSc, FRCPC Professor Division Director2,3,
  2. Jeff Ginsberg MD, FRCPC Professor4,
  3. Holger J. Schünemann MD, PhD, MSc, FACP, FCCP Professor5,6,
  4. Ralph M. Meyer MD, FRCPC Director Professor7,8 and
  5. Richard Lottenberg MD, FACP Professor9
  1. James D. Douketis MD, FRCP(C)3,4 and
  2. Scott Kaatz DO, MSc, FACP1

Published Online: 4 FEB 2009

DOI: 10.1002/9781444300857.ch15

Evidence-Based Hematology

Evidence-Based Hematology

How to Cite

Douketis, J. D. and Kaatz, S. (2009) Bridging Anticoagulation in Patients Who Require Temporary Interruption of Warfarin for Surgery, in Evidence-Based Hematology (eds M. A. Crowther, J. Ginsberg, H. J. Schünemann, R. M. Meyer and R. Lottenberg), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444300857.ch15

Editor Information

  1. 2

    Division of Hematology, McMaster University, Hamilton, Ontario, Canada

  2. 3

    St. Joseph's Hospital, Hamilton, Ontario, Canada

  3. 4

    Department of Medicine, McMaster University, Hamilton, Canada

  4. 5

    CLARITY Research Group, Department of Epidemiology, Italian National Cancer Institute Regina Elena, Rome, Italy

  5. 6

    McMaster University, Hamilton, Canada

  6. 7

    National Cancer Institute of Canada, Clinical Trials Group, Edith Eisenhauer Chair in Clinical Cancer Research, Queen's University, Kingston, Ontario, Canada

  7. 8

    Departments of Oncology and Medicine, Queen's University, Kingston, Ontario, Canada

  8. 9

    Division of Hematology/Oncology, Department of Medicine, University of Florida College of Medicine, Gainesville, Florida, USA

Author Information

  1. 1

    Henry Ford Health System, Detroit, Michigan, USA

  2. 3

    St. Joseph's Hospital, Hamilton, Ontario, Canada

  3. 4

    Department of Medicine, McMaster University, Hamilton, Canada

Publication History

  1. Published Online: 4 FEB 2009
  2. Published Print: 27 JUN 2008

ISBN Information

Print ISBN: 9781405157476

Online ISBN: 9781444300857

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Keywords:

  • bridging anticoagulation;
  • bridging anticoagulation - administration of short-acting heparin, UFH or LWMH;
  • American College of Cardiology/AmericanHeartAssociation/European Society of Cardiology (ACC/AHA/ESC);
  • American College of Chest Physicians (ACCP);
  • risk stratification in patients with mechanical heart valve;
  • unfractionated heparin (UFH);
  • Warfarin therapy interruption;
  • low-molecular-weight heparin;
  • resumption of bridging anticoagulation post procedure

Summary

This chapter contains sections titled:

  • Introduction

  • Which patients need bridging?

  • Which procedures is the bleeding risk too high to use postprocedure bridging?

  • How effective is bridging?

  • How do we bridge?

  • Summary

  • References