Perioperative anticoagulation in patients with chronic atrial fibrillation who are undergoing elective surgery: results of a physician survey.

摘要: OBJECTIVE To survey physicians' anticoagulation preferences in patients with chronic atrial fibrillation who are undergoing elective surgery. MATERIALS AND METHODS A was performed that asked physicians to provide pre- and postoperative for two clinical scenarios of (high stroke risk, low risk) In addition the interruption warfarin therapy, perioperative options were as follows: a) in-hospital full dose intravenous heparin; b) outpatient subcutaneous unfractionated heparin or molecular weight (LMWH); c) LMWH (postoperative only); d) nothing other than stopping preoperatively restarting it postoperatively; e) another anticoagulant strategy. RESULTS high risk scenario, proportions respondents preferring a, b, d e preoperative period 24%, 20%, 54% 2%, respectively; c, 35%, 13%, 15%, 35% 1%, respectively. 7%, 10%, 80% 3%, 11%, 9%, 68% CONCLUSIONS underwent surgery, management varied widely at stroke, but more uniform less aggressive stroke.