Patients with oral anticoagulation
Ziemer, S.; von Heymann; Koscielny, J. · Zeitschrift für Orthopädie und Unfallchirurgie · 2009 · Heft 03 · S. 247 bis 255
Bibliografische Angaben
Zusammenfassung
SummaryOral anticoagulation with a vitamin K-antagonist requires special consideration when surgery or interventional procedures are planned. This is mainly due to the half life of vitamin K-antagonists and to the need for safe and effective anticoagulation prior to and during surgery as well as in the postoperative period. So far, the continuous infusion of unfractionated heparin (UFH) has been the medication of choice to ,,bridge“ patients to surgery.The use of low molecular weight heparins (LMWH) has been prospectively investigated in this setting and represents a safe alternative. The advantages of LMWH are…