AW: [HSF] Warfarin for rings

[Prasanna Simha M]

I di not get the email - what is it ?
Prasanna

On Thu, May 8, 2008 at 11:59 AM, Dr. Roberto Battellini <
battr at medizin.uni-leipzig.de> wrote:

> Any,
> Thanks, I´ll get it. Let see what my Chief decides.
>
>
> -----Ursprüngliche Nachricht-----
> Von: openheart-l-bounces at lists.hsforum.com
> [mailto:openheart-l-bounces at lists.hsforum.com] Im Auftrag von Ani Anyanwu
> Gesendet: Montag, 5. Mai 2008 15:06
> An: openheart-l at lists.hsforum.com
> Betreff: RE: AW: [HSF] Warfarin for rings
>
> 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?>
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-- 
Prasanna Simha M