Anticoagulation for Prosthetic Valves
Joint Authors
Aranki, Sary F.
Kaneko, Tsuyoshi
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-11-04
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Implantation of prosthetic valve requires consideration for anticoagulation.
The current guideline recommends warfarin on all mechanical valves.
Dabigatran is the new generation anticoagulation medication which is taken orally and does not require frequent monitoring.
This drug is approved for treatment for atrial fibrillation and venous thromboembolism, but the latest large trial showed that this drug increases adverse events when used for mechanical valve anticoagulation.
On-X valve is the new generation mechanical valve which is considered to require less anticoagulation due to its flow dynamics.
The latest study showed that lower anticoagulation level lowers the incidence of bleeding, while the risk of thromboembolism and thrombosis remained the same.
Anticoagulation poses dilemma in cases such as pregnancy and major bleeding event.
During pregnancy, warfarin can be continued throughout pregnancy and switched to heparin derivative during 6–12 weeks and >36 weeks of gestation.
Warfarin can be safely started after 1-2 weeks of discontinuation following major bleeding episode.
American Psychological Association (APA)
Kaneko, Tsuyoshi& Aranki, Sary F.. 2013. Anticoagulation for Prosthetic Valves. Thrombosis،Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-464583
Modern Language Association (MLA)
Kaneko, Tsuyoshi& Aranki, Sary F.. Anticoagulation for Prosthetic Valves. Thrombosis No. 2013 (2013), pp.1-4.
https://search.emarefa.net/detail/BIM-464583
American Medical Association (AMA)
Kaneko, Tsuyoshi& Aranki, Sary F.. Anticoagulation for Prosthetic Valves. Thrombosis. 2013. Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-464583
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-464583