AW: [HSF] Warfarin for rings

[Donald Ross]

Thanks, Hal and everyone else.
I thought that was also my policy when a recent repair was put on  
warfarin by  the registrar and developed a tamponade.
After a shellacking he assured me it was routine with my colleagues  
and indeed it was.
Prasanna, I do you think you can extrapolate Indian thrombogenicity  
to patients on western diet ?
Don

> Don,
>   Because of guys like Bob Frater and Tom Martin, I made the switch in
> January, 2005.  I quit using warfarin other than for postop AF or   
> mechanical
> valves.  Since then, I've done several hundred valve procedures   
> and can only
> recall one postop embolic stroke in a ring patient.   Obviously, no  
> policy is
> perfect, but the incidence of warfarin-associated  delayed  
> tamponade has been
> essentially eliminated from my practice.
>
> Hal
>
>
>
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