[Specifics for anticoagulation with atrial fibrillation: triple therapy and perioperative bridging].
Patients with atrial fibrillation have in large parts an indication for full anticoagulation. Practical problems develop when there is an additional indication for a platelet inhibitory treatment, so called triple therapy, in case of percutaneous coronary intervention or how to manage anticoagulation in case of an operation. Clinical studies are relatively limited. Essentially, an individualized approach is necessary taking into account the bleeding on the one and the thromboembolic risk on the other side. In this review we a give a pragmatic treatment approach with discussion of the recent literature.
Stefan
S
Frantz
D000925:Anticoagulants / Q000008:administration & dosage*; D001281:Atrial Fibrillation / Q000175:diagnosis / Q000188:drug therapy* / Q000601:surgery*; D004305:Dose-Response Relationship, Drug; D019317:Evidence-Based Medicine; D006801:Humans; D019990:Perioperative Care; D019106:Postoperative Hemorrhage / Q000139:chemically induced* / Q000517:prevention & control; D011292:Premedication / Q000379:methods*; D013923:Thromboembolism / Q000150:complications / Q000517:prevention & control*; D016896:Treatment Outcome
D000925:Anticoagulants