2015
DOI: 10.1590/0004-282x20150085
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Preventing bleeding and thromboembolic complications in atrial fibrillation patients undergoing surgery

Abstract: Neurologists feel uneasy when asked about temporary anticoagulant interruption for surgery in patients with atrial fibrillation (AF). Rational decisions can be made based on current scientific evidence. Method Critical review of international guidelines and selected references pertaining to bleeding and thromboembolism during periods of oral anticoagulant interruption. Results Withholding oral anticoagulants leads to an increased risk of perioperative thromboembolism, depending on factors such as age, renal an… Show more

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“…Although common, atrial fibrillation is by no means innocuous as it predisposes patients to thromboembolism, haemodynamic compromise and arrhythmogenesis [15]. Associated issues regarding ventricular rate control and anticoagulation in the peri-operative setting can further predispose patients with AF to haemodynamic compromise and post-operative bleeding [16,17].…”
Section: Plos Onementioning
confidence: 99%
“…Although common, atrial fibrillation is by no means innocuous as it predisposes patients to thromboembolism, haemodynamic compromise and arrhythmogenesis [15]. Associated issues regarding ventricular rate control and anticoagulation in the peri-operative setting can further predispose patients with AF to haemodynamic compromise and post-operative bleeding [16,17].…”
Section: Plos Onementioning
confidence: 99%