#77 Bridging the gap

BrainWaves: A Neurology Podcast

• Episode: #77 Bridging the gap
• Website: BrainWaves: A Neurology Podcast
• Feed URL: http://feeds.soundcloud.com/users/soundcloud:users:214831941/sounds.rss
• Duration: 00:18:00
• Published: 2017-09-21 11:00

Atrial fibrillation increases your risk of clotting. Anticoagulation increases your risk of bleeding. Surgery increases your risk of both. Dr. Mike Rubenstein speaks with Dr. Jim Siegler this week about how providers weigh the risks and benefits of anticoagulant bridging in the perioperative setting.

Produced by Michael Rubenstein and James E. Siegler. Music by Chris Zabriskie, Lee Rosevere, and Jason Shaw. Voiceover by Erika Mejia. BrainWaves' podcasts and online content are intended for medical education only and should not be used for clinical decision making.

REFERENCES

1. Rechenmacher SJ, Fang JC. Bridging anticoagulation: Primum non nocere. Journal of the American College of Cardiology. 2015;66:1392-1403
2. Steinberg BA, Peterson ED, Kim S, Thomas L, Gersh BJ, Fonarow GC, et al. Use and outcomes associated with bridging during anticoagulation interruptions in patients with atrial fibrillation: Findings from the outcomes registry for better informed treatment of atrial fibrillation (orbit-af). Circulation. 2015;131:488-494
3. Stroke prevention in atrial fibrillation study. Final results. Circulation. 1991;84:527-539
4. Garcia DA, Regan S, Henault LE, Upadhyay A, Baker J, Othman M, et al. Risk of thromboembolism with short-term interruption of warfarin therapy. Archives of internal medicine. 2008;168:63-69
5. Raval AN, Cigarroa JE, Chung MK, Diaz-Sandoval LJ, Diercks D, Piccini JP, et al. Management of patients on non-vitamin k antagonist oral anticoagulants in the acute care and periprocedural setting: A scientific statement from the american heart association. Circulation. 2017;135:e604-e633
6. Schulman S, Carrier M, Lee AY, Shivakumar S, Blostein M, Spencer FA, et al. Perioperative management of dabigatran: A prospective cohort study. Circulation. 2015;132:167-173