TY - CHAP M1 - Book, Section TI - Perioperative Management of Anticoagulants A1 - Kaatz, Scott A1 - Douketis, James D. A2 - Cohn, Steven L. Y1 - 2021 N1 - T2 - Decision Making in Perioperative Medicine: Clinical Pearls AB - It is estimated that 6 million patients with atrial fibrillation worldwide will require anticoagulation interruption per year for an invasive procedure, or about one in six patients annually,1 and this number is increased when patients with mechanical valves and venous thromboembolism (VTE) are included. Periprocedural interruption of anticoagulation has several components: a) need for interruption; b) pre-procedure interruption timing; c) timing of post-procedure resumption; d) need for parenteral bridging anticoagulation; and e) urgent reversal for emergent procedures. Four primary guidelines help inform periprocedural anticoagulation interruption: the 2012 American College of Chest Physicians (ACCP) guidelines,2 the 2017 American College of Cardiology (ACC) Expert Consensus Decision Pathway which offers guidance for patients with atrial fibrillation only,3 the 2018 American Society of Regional Anesthesia and Pain Medicine (ASRA) guidelines,4 and the 2018 American Society of Hematology guidelines for VTE.5 SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/04/20 UR - accessmedicine.mhmedical.com/content.aspx?aid=1179530588 ER -