Antithrombotic Therapy after Bioprosthetic Aortic Valve Replacement: A Therapeutic Morass

被引:3
作者
Gryaznov, Anton A. [1 ,2 ]
Saeyeldin, Ayman [1 ]
Abdelbaky, Mohamed [1 ]
Zafar, Mohammad A. [1 ]
Tanweer, Maryam [1 ]
Imran, Mahnoor [1 ]
Papanikolaou, Dimitra [1 ]
Erben, Young [1 ]
Zefirova, Julia [3 ]
Ziganshin, Bulat A. [1 ,4 ]
Elefteriades, John A. [1 ]
机构
[1] Yale Univ, Aort Inst, Yale New Haven Hosp, Sch Med, 789 Howard Ave,Clin Bldg CB317, New Haven, CT 06519 USA
[2] St Marys Hosp, Dept Surg, Waterbury, CT USA
[3] Yale Univ, Sch Med, Dept Med, New Haven, CT 06510 USA
[4] Kazan State Med Univ, Dept Surg Dis 2, Kazan, Russia
关键词
Anticoagulation; Adverse effects; Aortic valve replacement; Bioprosthesis; Mechanical aortic valve; Complications; LONG-TERM DURABILITY; HEART-VALVE; THROMBOEMBOLIC COMPLICATIONS; EARLY ANTICOAGULATION; ORAL ANTICOAGULATION; COMPARING WARFARIN; OUTCOMES; TRANSCATHETER; IMPLANTATION; SOCIETY;
D O I
10.1159/000490924
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Valvular heart disease is a common pathologic condition that affects 6 million people in the United States and more than 100 million worldwide. The most common valvular disorder is aortic stenosis. Current American and European guidelines recommend surgical management for symptomatic aortic stenosis with low risk of perioperative complications and endovascular intervention for high-risk patients with multiple comorbidities. Considering the increasing volume of aortic valve replacement (AVR) with biological valves, it is very important to select the appropriate anticoagulant after surgical AVR. In this article, we review the impact of anticoagulation on immediate and remote complications after AVR. (C) 2018 S. Karger AG, Basel
引用
收藏
页码:213 / 221
页数:9
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