By rray, 25 March, 2024 Stop DOAC based on specific agent renal fxn and bleeding risk of surgery Don t bridge w parenteral anticoagulation B NR
By rray, 25 March, 2024 Very high risk neuraxial anesthesia spinal surgery bleeding rates may not be high but bleeding can cause significant consequences
By rray, 25 March, 2024 Higher risk intra abdominal pelvic orthopedic neurosurgical cardiac transvenous lead extraction
By rray, 25 March, 2024 Lower risk endoscopic dental extraction many ophthalmologic procedures percutaneous vascular access e g cardiac cath
By rray, 25 March, 2024 Resume warfarin on evening after procedure if hemostasis achieved and no further bleeding anticipated
By rray, 25 March, 2024 Check INR 5 7 days prior to procedure and recheck w in 24h of procedure If INR elevated w in 24h consider rescheduling elective procedure
By rray, 25 March, 2024 If high or uncertain bleeding risk stop warfarin temporarily B R 5 full days prior to procedure for target INR