Response to Letter Regarding Article, “Bridging Evidence-Based Practice and Practice-Based Evidence in Periprocedural Anticoagulation” | Zendy

Pilar Gallego | Zendy; Stavros Apostolakis | Zendy; Gregory Y.H. Lip | Zendy

Open Access

Response to Letter Regarding Article, “Bridging Evidence-Based Practice and Practice-Based Evidence in Periprocedural Anticoagulation”

Author(s) -

Pilar Gallego,

Stavros Apostolakis,

Gregory Y.H. Lip

Publication year - 2013

Publication title -

circulation

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 7.795

H-Index - 607

eISSN - 1524-4539

pISSN - 0009-7322

DOI - 10.1161/circulationaha.113.001659

Subject(s) - medicine , bridging (networking) , clinical practice , general surgery , surgery , intensive care medicine , family medicine , computer network , computer science

We thank Llau et al for their comments on our editorial.1 The challenge in periprocedural management of anticoagulated patients focuses on the need to balance the risk of thromboembolism (in case of anticoagulation interruption) with the risk of bleeding during the procedure (in case of anticoagulation continuation). Some procedures have demonstrated improved outcomes when oral anticoagulation was not discontinued (eg, minor dental, dermatologic procedures, or cataract surgery), and the meta-analysis performed by Siegal et al2 showed an increased risk of bleeding with similar thrombotic risk among patients who underwent periprocedural bridging therapy. Similar …

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