[ANMCO/GISE/SICCH Inter-Society Consensus Document: Antithrombotic therapy after surgery or structural interventional procedures for valvular heart diseases: how to treat postoperative complications]. in Giornale italiano di cardiologia (2006) / G Ital Cardiol (Rome). 2019 Mar;20(3):149-186. doi: 10.1714/3108.30964.
2019
ASL Torino 3
AO Cuneo
ASL Alessandria
Tipo pubblicazione
Journal Article
Autori/Collaboratori (26)Vedi tutti...
Varbella F
Cardiologia, ASL TO3, Ospedale di Rivoli, Rivoli (TO).
Gulizia MM
U.O.C. Cardiologia, Ospedale Garibaldi-Nesima, Azienda di Rilievo Nazionale e Alta Specializzazione "Garibaldi", Catania - Fondazione per il Tuo cuore - Heart Care Foundation Onlus, Firenze.
Parolari A
U.O. Cardiochirurgia Universitaria, Policlinico San Donato IRCCS, Università degli Studi, Milano.
et alii...
Abstract
Continuous improvement of technologies, devices and drugs needs a renewal and update of current recommendations and guidelines on antithrombotic strategies, especially in those fields where literature lacks of established scientific evidences. Accordingly, the aim of this consensus statement is to provide support for antithrombotic therapy based on current guidelines and the most recent scientific evidences.After an overview on the currently available devices, the appropriate therapy according to type of procedure and implanted device is discussed. The occurrence of postoperative thromboembolic and/or hemorrhagic complications is analyzed, along with the appropriate diagnostic tools and therapeutic approach. A section is dedicated to counseling to pregnancy in women with heart valve prosthesis. Finally, the role of novel oral anticoagulants is discussed, and indications are provided for the management of patients undergoing surgery or interventional procedures on oral anticoagulation therapy.
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PMID : 30821297
DOI : 10.1714/3108.30964
Keywords
Pregnancy Complications, Cardiovascular/surgery; Thromboembolism/etiology/prevention & control; Pregnancy; Practice Guidelines as Topic; Postoperative Complications/drug therapy/physiopathology; Humans; Heart Valve Prosthesis Implantation/adverse effects/methods; Heart Valve Diseases/surgery; Fibrinolytic Agents/administration & dosage; Female; Consensus; Anticoagulants/administration & dosage;