Perioperative and Periprocedural Management of Antithrombotic Therapy: Consensus Document of SEC, SEDAR, SEACV, SECTCV, AEC, SECPRE, SEPD, SEGO, SEHH, SETH, SEMERGEN, SEMFYC, SEMG, SEMICYUC, SEMI, SEMES, SEPAR, SENEC, SEO, SEPA, SERVE', SECOT and AEU

被引：84

作者：

Vivas, David ^{[1
,2
]}

Roldan, Inmaculada ^{[3
]}

Ferrandis, Raquel ^{[4
]}

Marin, Francisco ^{[5
]}

Roldan, Vanessa ^{[6
]}

Tello-Montoliu, Antonio ^{[5
]}

Miguel Ruiz-Nodar, Juan ^{[7
]}

Jose Gomez-Doblas, Juan ^{[8
]}

Martin, Alfonso ^{[9
]}

Vicente Llau, Juan ^{[10
,11
]}

Jose Ramos-Gallo, Maria ^{[12
]}

Munoz, Rafael ^{[13
]}

Ignacio Arcelus, Juan ^{[14
]}

Leyva, Francisco ^{[15
]}

Alberca, Fernando ^{[16
]}

Oliva, Raquel ^{[17
]}

Maria Gomez, Ana ^{[18
]}

Montero, Carmen ^{[19
]}

Arikans, Fuat ^{[20
]}

Ley, Luis ^{[21
]}

Santos-Buesou, Enrique ^{[22
]}

Figuero, Elena ^{[23
]}

Bujaldon, Antonio ^{[24
]}

Urbane, Jose ^{[25
]}

Otero, Rafael ^{[26
]}

Francisco Hermida, Juan ^{[27
]}

Egocheaga, Isabel ^{[28
]}

Luis Llisterri, Jose ^{[29
]}

Maria Lobos, Jose ^{[30
]}

Serrano, Ainhoa ^{[31
]}

Madridano, Olga ^{[32
]}

Luis Ferreiro, Jose ^{[33
]}

Cassinello, Concepcion ^{[34
]}

Gomez-Luque, Aurelio ^{[35
]}

Hidalgo, Francisco ^{[36
]}

Sierra, Pilar ^{[37
]}

Marco Vera, Pascual ^{[38
]}

Mateo Arranza, Jose ^{[39
]}

Palomo, Vicente ^{[40
]}

Guerrero, Adrian ^{[41
]}

Anguita, Manuel ^{[42
]}

Iniguez, Andres ^{[43
]}

机构：

[1] Hosp Clin San Carlos, Inst Cardiovasc, Prof Martin Lagos S-N, Madrid 28040, Spain

[2] Clin MD Anderson, Unidad Cardiol, Madrid, Spain

[3] Hosp Univ La Paz, Serv Cardiol, CIBER CV, Madrid, Spain

[4] Univ Valencia, Hosp Univ & Politecn Fe, Serv Anestesiol Reanimac & Terapeut Dolor, Valencia, Spain

[5] Univ Virgen Arrixaca, Hosp Clin, CIBER CV, Serv Cardiol, Murcia, Spain

[6] Univ Morales Meseguer, Hosp Gen, Serv Hematol, Murcia, Spain

[7] Univ Alicante, Hosp Gen, Inst Invest Sanitaria Biomed Alicante ISABIAL, Serv Cardiol,CIBER CV, Alicante, Spain

[8] Univ Virgen Victoria, Hosp Clin, Serv Cardiol, CIBER CV, Malaga, Spain

[9] Hosp Univ Severn Ochoa, Serv Urgencias, Madrid, Spain

[10] Hosp Clin Univ, Serv Anestesiol Reanimat & Terapeut Dolor, Valencia, Spain

[11] Univ Valencia, Valencia, Spain

[12] Hosp Cabueries, Serv Angiol & Cirugia Vasc, Gijon, Asturias, Spain

[13] Hosp Univ Ramon & Cajal, Serv Cirugia Cardiaca, Madrid, Spain

[14] Hosp Univ Virgen Nieves, Serv Cirugia Gen & Digest, Granada, Spain

[15] Hosp Clin San Carlos, Serv Cirugia Pleist Estet & Reparadora, Madrid, Spain

[16] Univ Virgen Arrixaca, Hosp Clin, Serv Aparato Digest, Murcia, Spain

[17] Univ Virgen Arrixaca, Hosp Clin, Serv Ginecol & Obstetricia, Murcia, Spain

[18] Hosp Clin San Carlos, Serv Cirugia Torac, Madrid, Spain

[19] Hosp Univ A Coruna, Serv Neumol, La Coruna, Spain

[20] Hosp Univ Vall dHebron, Servicio Neurocirugia, Barcelona, Spain

[21] Hosp Univ Ramon & Cajal, Servicio Neurocirugia, Madrid, Spain

[22] Hosp Clin San Carlos, Serv Oftalmol, Madrid, Spain

[23] UCM, Fac Odontol, DECO, Madrid, Spain

[24] UCM, Fac Odontol, Madrid, Spain

[25] Hosp Univ Fdn Jimenez Diaz, Serv Radiol, Madrid, Spain

[26] Hosp Clin San Carlos, Serv Traumatol & Cirugia Ortoped, Madrid, Spain

[27] Hosp Clin San Carlos, Serv Urol, Madrid, Spain

[28] Ctr Salud Isla Oza, Med Familia, Madrid, Spain

[29] Ctr Salud Ingeniero Joaquin Benlloch, Med Familia, Valencia, Spain

[30] Ctr Salud Jazmin, Med Familia, Madrid, Spain

[31] Hosp Clin Univ, Serv Med Intens, Valencia, Spain

[32] Hosp Univ Infanta Sofia, Serv Med Interna, Madrid, Spain

[33] Hosp Univ Bellvitge, IDIBELL, Hospitalet Llobregat, Area Enfermedades Corazon, Barcelona, Spain

[34] Hosp Univ Miguel Servet, Serv Anestesiol Reanimat & Terapeut Dolor, Zaragoza, Spain

[35] Univ Malaga, Hosp Univ Virgen Victoria, Serv Anestesiol Reanimat & Terapeut Dolor, Malaga, Spain

[36] Clin Univ Navarra, Serv Anestesiol Reanimac & Terapeut Dolor, Navarra, Spain

[37] Fundacio Puigvert, Serv Anestesiol Reanimac & Terapeut Dolor, Barcelona, Spain

[38] Univ Alicante, Hosp Gen, Serv Hematol & Hemoterapia, Alicante, Spain

[39] Hosp Santa Creu & Sant Pau, Unidad Hemostasia & Trombosis, Serv Hematol, Barcelona, Spain

[40] Ctr Salud Torrelaguna, Med Familia, Madrid, Spain

[41] Clin Guerrero, Malaga, Spain

[42] Hosp Univ Reina Sofia, Serv Cardiol, Cordoba, Spain

[43] Univ Vigo, Complejo Hosp, Serv Cardiol, Pontevedra, Spain

来源：

REVISTA ESPANOLA DE CARDIOLOGIA | 2018年 / 71卷 / 07期

关键词：

Antithrombotic; Anticoagulation; Antiplatelet; Surgery; DUAL ANTIPLATELET THERAPY; CORONARY-ARTERY-DISEASE; VITAMIN-K ANTAGONIST; ELEVATION MYOCARDIAL-INFARCTION; CLINICAL-PRACTICE GUIDELINES; DIRECT ORAL ANTICOAGULANT; CARDIOLOGY WORKING GROUP; ST-SEGMENT-ELEVATION; BARE-METAL STENTS; ATRIAL-FIBRILLATION;

D O I：

10.1016/j.rec.2018.01.029

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

During the last few years, the number of patients receiving anticoagulant and antiplatelet therapy has increased worldwide. Since this is a chronic treatment, patients receiving it can be expected to need some kind of surgery or intervention during their lifetime that may require treatment discontinuation. The decision to withdraw antithrombotic therapy depends on the patient's thrombotic risk versus hemorrhagic risk. Assessment of both factors will show the precise management of anticoagulant and antiplatelet therapy in these scenarios. The aim of this consensus document, coordinated by the Cardiovascular Thrombosis Working Group of the Spanish Society of Cardiology, and endorsed by most of the Spanish scientific societies of clinical specialities that may play a role in the patient-health care process during the perioperative or periprocedural period, is to recommend some simple and practical guidelines with a view to homogenizing daily clinical practice. Full English text available from: www.revespcardiol.org/en (C) 2018 Sociedad Espafiola de Cardiologia. Published by Elsevier Espania, S.L.U. All rights reserved.

引用

页码：553 / 564

页数：12

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