AW: [HSF] Warfarin for rings

[Ani Anyanwu]

Roberto
 
The European Association for Cardiothoracic Surgery (EACTS) has just released guidelines on anticoagulation and antithrombosis before and after cardiac surgery - this may give you some 'legality' to support local practice change if you are unhappy about being forced to use warfarin. 
 
The guidelines make recommendations on a very wide range of practice issues, ranging from if and when to stop aspirin, plavix, use of hepcon to guide heparinisation and reversal, use of antifibrinolytics, factor vii, use of antiplatelet drugs post cardiac surgery etc. Also discussed is anticoagulation after valve surgery. For the aortic position the guidelines say evidence does not support the use of warfarin after bioprosthetic valve and this practice may be harmful. For the mitral position they state that there is no evidence supporting or refuting the use of warfarin after bioprosthetic valve.
 
The article is available online through pubmed and the european journal though not yet available in print.
 
See
 
Dunning J, Versteegh M, Fabbri A, Pavie A, Kolh P, Lockowandt U, Nashef SA; on behalf of the EACTS Audit and Guidelines Committee.



Guideline on antiplatelet and anticoagulation management in cardiac surgery.
Eur J Cardiothorac Surg. 2008 Mar 27. [Epub ahead of print]
 
Ani
 
 




> From: battr at medizin.uni-leipzig.de> To: OpenHeart-L at lists.hsforum.com> Subject: AW: [HSF] Warfarin for rings> Date: Mon, 5 May 2008 09:18:53 +0200> CC: > > Even for bioprosthesis eg. Perimount? Nothing?> You know, in Germany 2-3 months must be given, as once a patient won a legal> cause because of hemiplegia, he was not receiving warfarin.> We are allowed not to give after 80 years old to avoid bleeding in the> elderly.> Roberto> > -----Ursprüngliche Nachricht-----> Von: openheart-l-bounces at lists.hsforum.com> [mailto:openheart-l-bounces at lists.hsforum.com] Im Auftrag von> tdmartin2000 at aol.com> Gesendet: Samstag, 3. Mai 2008 03:22> An: OpenHeart-L at lists.hsforum.com> Betreff: Re: [HSF] Warfarin for rings> > We haven't used warfarin for rings or bioprostheses in 20 yrs.> > Tom Martin> U of Florida> Gainesville> > > -----Original Message-----> From: Donald Ross <donross at bigpond.com>> To: OpenHeart-L at lists.hsforum.com> Sent: Fri, 2 May 2008 7:37 pm> Subject: Re: AW: [HSF] Warfarin for rings> > > What is the consensus regarding short term warfarin for mitral rings??> Don?> _______________________________________________?> OpenHeart-L mailing list?> ?> Send postings to:?> OpenHeart-L at lists.hsforum.com?> ?> To UNSUBSCRIBE, to CHANGE email address, or to view archives:?> http://mmp.cjp.com/mailman/listinfo/openheart-l?> ?> All messages transmitted by the OpenHeart-L are subject to the policies and> disclaimers posted at:?> http://www.hsforum.com/listdisclaim?> -----------------------------------------?> > _______________________________________________> OpenHeart-L mailing list> > Send postings to:> OpenHeart-L at lists.hsforum.com> > To UNSUBSCRIBE, to CHANGE email address, or to view archives:> http://mmp.cjp.com/mailman/listinfo/openheart-l> > All messages transmitted by the OpenHeart-L are subject to the policies and > disclaimers posted at:> http://www.hsforum.com/listdisclaim> -----------------------------------------> > _______________________________________________> OpenHeart-L mailing list> > Send postings to:> OpenHeart-L at lists.hsforum.com> > To UNSUBSCRIBE, to CHANGE email address, or to view archives:> http://mmp.cjp.com/mailman/listinfo/openheart-l> > All messages transmitted by the OpenHeart-L are subject to the policies and > disclaimers posted at:> http://www.hsforum.com/listdisclaim> -----------------------------------------
_________________________________________________________________
Win Indiana Jones prizes with Live Search
http://clk.atdmt.com/UKM/go/msnnkmgl0010000002ukm/direct/01/