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Review

When patients on warfarin need surgery

Amir K. Jaffer, MD, Daniel J. Brotman, MD and Nkem Chukwumerije, MD
Cleveland Clinic Journal of Medicine November 2003, 70 (11) 973-984;
Amir K. Jaffer
Medical Director, The Internal Medicine Preoperative Assessment Consultation and Treatment (IMPACT) Center and the Anticoagulation Clinic, Section of Hospital and Preoperative Medicine, Department of General Internal Medicine, The Cleveland Clinic
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  • For correspondence: jaffera@ccf.org
Daniel J. Brotman
Section of Hospital and Preoperative Medicine, Department of General Internal Medicine, The Cleveland Clinic
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Nkem Chukwumerije
Kaiser Permanente Medical Center, Panorama, CA
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ABSTRACT

When a patient who has been taking warfarin long-term needs to undergo surgery, how to manage his or her anticoagulation is controversial. We believe most patients should stop taking warfarin 5 days before elective surgery, and most do not need to receive heparin in the perioperative period as a bridge to surgery.

  • Copyright © 2003 The Cleveland Clinic Foundation. All Rights Reserved.
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Cleveland Clinic Journal of Medicine: 70 (11)
Cleveland Clinic Journal of Medicine
Vol. 70, Issue 11
1 Nov 2003
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When patients on warfarin need surgery
Amir K. Jaffer, Daniel J. Brotman, Nkem Chukwumerije
Cleveland Clinic Journal of Medicine Nov 2003, 70 (11) 973-984;

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When patients on warfarin need surgery
Amir K. Jaffer, Daniel J. Brotman, Nkem Chukwumerije
Cleveland Clinic Journal of Medicine Nov 2003, 70 (11) 973-984;
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  • ACC/AHA 2007 Guidelines on Perioperative Cardiovascular Evaluation and Care for Noncardiac Surgery: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 2002 Guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery)
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