< Back to Listing

Infographic | Perioperative Management of DOACs

Download File

Description:

Infographic | Perioperative Management of DOACs

For patients on warfarin or a DOAC, a surgical or invasive procedure requires that they discontinue their medication for a few days before and after the procedure. This infographic advises appropriate timing for anticoagulation interruption.

Infographic Image | Click To Enlarge

Citations

  1. Doherty JU, Gluckman TJ, Hucker WJ, et al. 2017 ACC expert consensus decision pathway for periprocedural management of anticoagulation in patients with nonvalvular atrial fibrillation: a report of the American College of Cardiology clinical expert consensus document task force. J Am Coll Cardiol. 2017; 69(7):871-898.
  2. Hohnloser SH, Camm J, Cappato R, et al. Uninterrupted Edoxaban vs. vitamin K antagonists for ablation of atrial fibrillation: the ELIMINATE-AF trial. Er Heart J. 2019;40:3013-21.
  3. Goria R, Dentali F, Crippa M, et al. perioperative Safety and Efficacy of Different Anticoagulation Strategies with Direct Oral Anticoagulants in Pulmonary Vein Isolation: A Meta-Analysis. JACC Clin Electrophysiol 2018;4:794-806.
  4. Zhao Y, Lu Y, Qin Y. A meta-analysis of randomized controlled trials of uninterrupted periprocedural anticoagulation strategy in patients undergoing atrial fibrillation catheter ablation. Int J Cardiol. 2018;270:167-71.
  5. Birnie DH, Healey JS, Wells GA, et al. Continued vs. interrupted direct oral anticoagulants at the time of device surgery, in patients with moderate to high risk of arterial thrombo-embolic events (BRUISE CONTROL-2). Eur Heart J 2018;39:3973-9.
  6. Douketis JD, Spyropoulos AC, Duncan J, et al. Perioperative management of patients with atrial fibrillation receiving a direct oral anticoagulant. JAMA Intern Med. 2019;179:1469-1478.

All infographics should be credited to "American College of Cardiology."

More ACC Infographics

Date: January 01, 2020    

Clinical Topics: Anticoagulation Management, Arrhythmias and Clinical EP, Invasive Cardiovascular Angiography and Intervention, Noninvasive Imaging, Anticoagulation Management and Atrial Fibrillation, Implantable Devices, SCD/Ventricular Arrhythmias, Atrial Fibrillation/Supraventricular Arrhythmias, Interventions and Imaging, Angiography, Nuclear Imaging

Keywords: Coronary Angiography, Arrhythmias, Cardiac, Warfarin, Atrial Fibrillation, Thromboembolism, Anticoagulants, Antithrombins