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BASIC PRINCIPLES OF PERIPROCEDURAL MANAGEMENT OF PATIENTS WITH NONVALVULAR ATRIAL FIBRILLATION RECEIVING ANTICOAGULANT THERAPY: THE CONSENSUS DOCUMENT OF EXPERTS OF THE AMERICAN COLLEGE OF CARDIOLOGY

https://doi.org/10.18087/cardio.2018.2.10091

Abstract

The article contains an outline of the 2017 ACC Expert Consensus Decision Pathway for Periprocedural Management of Anticoagulation in Patients With Nonvalvular Atrial Fibrillation. This document considers in detail problems of necessity and safety of temporary interrupting of anticoagulation for the period of procedure, main principles of interruption and restarting anticoagulant therapy after procedure, indications to the transitional (bridging) therapy in the periprocedural period, as well as possible strategies of periprocedural management of patients in dependence of risk of bleeding and thromboembolic complications. This Expert Consensus Decision Pathway refer to the periprocedural use of both oral (vitamin K antagonists, new oral anticoagulants) and parenteral (unfractionated and low-molecular-weight heparins) anticoagulants.

About the Author

Natalya M. Vorobyeva
Pirogov Russian National Research Medical University, Russian Gerontology Clinical Research Center
Russian Federation


References

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For citations:


Vorobyeva N.M. BASIC PRINCIPLES OF PERIPROCEDURAL MANAGEMENT OF PATIENTS WITH NONVALVULAR ATRIAL FIBRILLATION RECEIVING ANTICOAGULANT THERAPY: THE CONSENSUS DOCUMENT OF EXPERTS OF THE AMERICAN COLLEGE OF CARDIOLOGY. Kardiologiia. 2018;58(2):91-104. (In Russ.) https://doi.org/10.18087/cardio.2018.2.10091

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ISSN 0022-9040 (Print)
ISSN 2412-5660 (Online)