Thromboembolic and bleeding complications in patients with mechanical heart valve prostheses.

Cannegieter, Suzanne C.; Rosendaal, F.R.; Briët, E.

doi:10.1161/01.cir.89.2.635

Cited by 940 publications

(562 citation statements)

References 48 publications

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“…It occurs in MHV due to inadequate anticoagulant therapy and less commonly in BHV and more commonly at the mitral site location [19]. Small thrombi may be seen attached to the basal part or at the free margins of the cusp on the inflow surface.…”

Section: Valve Thrombosismentioning

confidence: 99%

Bioprosthetic Heart Valves: Impact of Implantation on Biomaterials

2013

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Prosthetic heart valves are commonly used in the treatment of valvular heart disease. Mechanical valves are more durable than the bioprosthetic valves; however, the need for long-term anticoagulant therapy renders them unsuitable for some patient groups. In this paper we discuss the different types and models of bioprosthesis, and in particular, pericardial bioprosthesis. We also discuss the preimplantation preparation processes, as well as their postimplantation changes and modes of failure.

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Section: Valve Thrombosismentioning

confidence: 99%

Bioprosthetic Heart Valves: Impact of Implantation on Biomaterials

2013

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“…However, the target therapeutic range for these conditions is 3.5. 22,23 Therefore any reduction of INR in this group would predispose them to a higher risk of serious thromboembolism.…”

Section: Their Potential Management Of the Anticoagulation Regime In mentioning

confidence: 99%

An assessment of the management of patients on warfarin by general dental practitioners in South West Wales

Muthukrishnan

Bishop

2003

Br Dent J

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“…A detailed description of these scores is beyond the scope of this article, but the higher the scores are higher is the risk of cardioembolic events 52 . Patients with prosthetic heart valves may have low, moderate, and high risk of thrombotic events according to previously proposed parameters 53 .…”

Section: Assessment Of Thrombotic Riskmentioning

confidence: 99%

Lumbar puncture in patients using anticoagulants and antiplatelet agents

Domingues¹,

Bruniera

Brunale

et al. 2016

Arq. Neuro-Psiquiatr.

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The use of anticoagulants and antiplatelet agents has largely increased. Diagnostic lumbar puncture in patients taking these drugs represents a challenge considering the opposing risks of bleeding and thrombotic complications. To date there are no controlled trials, specific guidelines, nor clear recommendations in this area. In the present review we make some recommendations about lumbar puncture in patients using these drugs. Our recommendations take into consideration the pharmacology of these drugs, the thrombotic risk according to the underlying disease, and the urgency in cerebrospinal fluid analysis. Evaluating such information and a rigorous monitoring of neurological symptoms after lumbar puncture are crucial to minimize the risk of hemorrhage associated neurological deficits. An individualized patient decision-making and an effective communication between the assistant physician and the responsible for conducting the lumbar puncture are essential to minimize potential risks.

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Thromboembolic and bleeding complications in patients with mechanical heart valve prostheses.

Abstract: These data provide a reference for future studies and give adequate risk estimates for clinical decision making.

Cited by 940 publications

References 48 publications

Bioprosthetic Heart Valves: Impact of Implantation on Biomaterials

Bioprosthetic Heart Valves: Impact of Implantation on Biomaterials

An assessment of the management of patients on warfarin by general dental practitioners in South West Wales

Lumbar puncture in patients using anticoagulants and antiplatelet agents

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