Surgery; procedures

Question 1

what is perioperative management of warfarin in low-risk patient for thromboembolism

Answer 1

hold 5 days prior to procedure and restart within 24 hours if no bleeding complications.

Question 2

what situations make patient high risk for thromboembolism when holding AC and require LMWH bridging?

Answer 2

mechanical valve, major stroke risk factors, stroke/TIA within last 3 months, VTE within last 3 months, antiphospholipid Ab, coronary stent within 12 months, A fib and CHA2DS2-VASc 7+