title: Use of enoxaparin for the chronically anticoagulated patient before and after procedures.
abstract: Patients who require chronic anticoagulation and a procedure have been traditionally managed either by stopping warfarin and starting intravenous standard heparin or by adjusted dose subcutaneous standard heparin or taken off all anticoagulation for a week before the procedure. Enoxaparin may be useful as an alternative method of anticoagulation, avoiding hospitalization and the need for frequent monitoring.
authors.affiliation: Division of Internal Medicine, Jefferson Medical College of Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
authors.forename: J M
authors.initials: JM
authors.lastname: Spandorfer
authors.forename: S
authors.initials: S
authors.lastname: Lynch
authors.forename: H H
authors.initials: HH
authors.lastname: Weitz
authors.forename: S
authors.initials: S
authors.lastname: Fertel
authors.forename: G J
authors.initials: GJ
authors.lastname: Merli
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000925:Anticoagulants / Q000627:therapeutic use*; D006348:Cardiac Surgical Procedures / Q000009:adverse effects; D017984:Enoxaparin / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012307:Risk Factors; D011795:Surveys and Questionnaires; D013923:Thromboembolism / Q000097:blood / Q000209:etiology / Q000517:prevention & control*; D016896:Treatment Outcome; D014859:Warfarin / Q000627:therapeutic use*
chemical_list: D000925:Anticoagulants; D017984:Enoxaparin; D014859:Warfarin