1 哪些患者需要长期口服抗凝药? 2 为何要桥接抗凝? 3 是否所有长期口服华法林的患者在围术期都需要桥接抗凝? 4 如何正确进行桥接抗凝治疗? 图片来源:作者提供 5 口服 NOACs 的患者是否需要桥接抗凝? 作者:陈文飞 主管药师 四川攀枝花学院附属医院 排版:ly 投稿:wangliya1@dxy.cn 心血管时间 丁香园旗下公众号,更懂中国心血管医生。前沿、用药、指南、病例一网打尽,轻松玩转心内科。 939篇原创内容 公众号 [1] James D.et al.Perioperative Bridging Anticoagulation in Patients with Atrial Fibrillation. N Engl J Med ,2015,373:823-33. [2] Yong et al. Periprocedural heparin bridging in patients receiving oral anticoagulation: a systematic review and meta-analysis BMC Cardiovascular Disorders (2017) 17:295. [3] Ilias Nikolakopoulos ,Heparin Bridging Therapy for Patients on Chronic Oral Anticoagulants in Periprocedural Settings Semin Thromb Hemost 2020;46:26–31. [4] Nazha B et al. Periprocedural outcomes of direct oral anticoagulants vs. warfarin in non-valvular atrial fibrillation: a meta-analysis of phase III trials. Circulation 2018;138(14):1402–1411. [5] Tao et al. A meta-analysis of bridging anticoagulation between low molecular weight heparin and heparinMedicine (2020) 99:3,1-8. [6] 中国心胸血管麻醉学会非心脏麻醉分会,抗血栓药物围手术期管理多学科专家共识,2020. [7] 心房颤动防治专家工作委员会, 心房颤动: 目前的认识和治疗的建议,2018. [8] ASH 静脉血栓栓塞管理指南:优化抗凝治疗管理,2018. [9] ACC 非瓣膜病房颤患者围手术期抗凝管理决策的专家共识,2017. |
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