Emergency cardiac surgery in patients on oral anticoagulants and antiplatelet medications,Journal of Cardiac Surgery

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Emergency cardiac surgery in patients on oral anticoagulants and antiplatelet medications
Journal of Cardiac Surgery ( IF 1.3 ) Pub Date : 2021-11-14 , DOI: 10.1111/jocs.16027
Rami Akhrass ₁ , Marc Gillinov ₁ , Faisal Bakaeen ₁ , Deena Akras ₁ , Scott J Cameron ₂ , Jay Bishop ₂ , Samir Kapadia ₂ , Lars Svensson ₁

Affiliation

Emergency surgery, blood transfusion, and reoperation for bleeding have been associated with increased operative morbidity and mortality. The recent increased use of direct oral anticoagulants and antiplatelet medications has made the above more challenging. In addition, cardiopulmonary bypass (CPB), with its associated hemodilution, fibrinolysis, and platelet consumption, may exacerbate the pre-existing coagulopathy and increase the risk of bleeding.

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