Manejo del tratamiento anticoagulante perioperatorio / Perioperative management of anticoagulation

ABSTRACT

Management of anticoagulation before and after elective and urgent surgery is still a matter of debate. The interruption of anticoagulant therapy increases the risk of thromboembolism specially in patients with recent deep vein thrombosis (< 3 month), high risk atrial fibrilation or mechanical heart valves and acute arterial embolism (< 1 month). In these patients full dose intravenous heparin or low molecular weight heparin should replace oral anticoagulants. In low risk procedures like odontologic or catarat surgery it may not be necesary to stop oral anticoagulant treatment