Antikoagulation in perioperativen Settings: Wie damit umgehen?

Current guidelines on perioperative management of patients requiring anticoagulant treatment are reviewed. Perioperative anticoagulation management requires the knowledge of the anticoagulant, the indication for anticoagulation, bleeding risk of the patient and bleeding risk of the procedure and is best performed in an interdisciplinary setting. Whereas patients on direct oral anticoagulants usually only require short interruptions, bridging in general is only necessary for certain indications and in procedures with high bleeding risk in patients treated with vitamin-k-antagonists.