Author/Editor		Vene, Nina
Title		Priprava na invazivni poseg ob antikoagulacijskem zdravljenju
Translated title		Preparation of patients on anticoagulant therapy for invasive procedures
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 46, št. Suppl 1
Publication year		2007
Volume		str. 5-8
Language		slo
Abstract		Chronically anticoagulated patients should be carefully prepared during invasive procedures in order to avoid periprocedural complications. Management depends on the type and urgency of the procedure, the risk of thromboembolism and the bleeding risk. Minor procedures can be performed without interruption of anticoagulation. Before major procedures, coumarins should be stopped and bridging therapy with low molecular weight heparin should be instituted, depending on the patient's thromboembolic risk.
Summary		Bolnike, ki prejemajo antikoagulacijsko zdravljenje, moramo na invazivni poseg skrbno pripraviti. Priprava je odvisna od vrste in nujnosti posega, tveganja trombembolijo in tveganja za krvavitev ob posegu. Manjše posege lahko opravimo brez prekinitve zdravljenja s kumarini, pred večjimi posegi pa te opustimo in - glede na tveganje za trombembolijo pred posegom in po njem - predpišemo nadomestno antikoagulacijsko zdravljenje z nizkomolekularnim heparinom.
Descriptors		ANTICOAGULANTS PREOPERATIVE CARE THROMBOEMBOLISM HEPARIN, LOW-MOLECULAR-WEIGHT