title: Management of Periprocedural Anticoagulation: A Survey of Contemporary Practice.
abstract: Interruption of oral anticoagulation (AC) for surgery or an invasive procedure is a complicated process. Practice guidelines provide only general recommendations, and care of such patients occurs across multiple specialties. The availability of direct oral anticoagulants further complicates decision making and guidance here is limited. To evaluate current practice patterns in the United States for bridging AC, a survey was developed by the American College of Cardiology Anticoagulation Work Group. The goal of the survey was to assess how general and subspecialty cardiologists, internists, gastroenterologists, and orthopedic surgeons currently manage patients who receive AC and undergo surgery or an invasive procedure. The survey was completed by 945 physicians involved in the periprocedural management of AC. The results provide a template for educational and research projects geared toward the development of clinical pathways and point-of-care tools to improve this area of health care.
authors.affiliation: University of Missouri School of Medicine, Columbia, Missouri. Electronic address: flakerg@health.missouri.edu.
authors.forename: Greg C
authors.initials: GC
authors.lastname: Flaker
authors.affiliation: American College of Cardiology, Washington, DC.
authors.forename: Paul
authors.initials: P
authors.lastname: Theriot
authors.affiliation: American College of Cardiology, Washington, DC.
authors.forename: Lea G
authors.initials: LG
authors.lastname: Binder
authors.affiliation: College of Pharmacy, University of Nebraska Medical Center, Omaha, Nebraska.
authors.forename: Paul P
authors.initials: PP
authors.lastname: Dobesh
authors.affiliation: Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
authors.forename: Adam
authors.initials: A
authors.lastname: Cuker
authors.affiliation: Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania.
authors.forename: John U
authors.initials: JU
authors.lastname: Doherty
mesh_terms: D000925:Anticoagulants / Q000627:therapeutic use*; D001281:Atrial Fibrillation / Q000150:complications / Q000628:therapy*; D002309:Cardiology; D019468:Disease Management; D019983:Guideline Adherence; D006801:Humans; D011300:Preoperative Care / Q000379:methods*; D011795:Surveys and Questionnaires; D013927:Thrombosis / Q000209:etiology / Q000517:prevention & control*
chemical_list: D000925:Anticoagulants
keywords: atrial fibrillation; direct-acting oral anticoagulant; parenteral anticoagulation; vitamin K antagonists