[1]姜运秋,田颖.长期抗凝者植入心脏植入装置围手术期抗凝策略[J].心血管病学进展,2016,(1):8-11.[doi:10.16806/j.cnki.issn.1004-3934.2016.01.003]
 JIANG Yunqiu,TIAN Ying.Perioperative Anticoagulation of Cardiovascular Implantable Electronic Devices Implantation in Patients Receiving Long-term Anticoagulant Therapy[J].Advances in Cardiovascular Diseases,2016,(1):8-11.[doi:10.16806/j.cnki.issn.1004-3934.2016.01.003]
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长期抗凝者植入心脏植入装置围手术期抗凝策略()
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《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2016年1期
页码:
8-11
栏目:
主题综述
出版日期:
2016-02-20

文章信息/Info

Title:
Perioperative Anticoagulation of Cardiovascular Implantable Electronic Devices Implantation in Patients Receiving Long-term Anticoagulant Therapy
作者:
姜运秋田颖
首都医科大学附属北京朝阳医院心脏中心,北京 100020
Author(s):
JIANG YunqiuTIAN Ying
Heart Centre,Beijing Chaoyang Hospital,Capital Medical University,Beijing 100020,China
关键词:
心脏植入型电子装置 围手术期 抗凝
Keywords:
Cardiovascular implantable electronic devices Perioperative period Anticoagulation
分类号:
R540.4+6; R973+2
DOI:
10.16806/j.cnki.issn.1004-3934.2016.01.003
文献标志码:
A
摘要:
大量需要植入心脏植入装置的患者正在接受长期抗凝治疗,围手术期面临出血和血栓栓塞事件的双重风险,多数指南推荐根据患者血栓栓塞危险度决定抗凝方案。围手术期进行肝素桥接或双联抗血小板治疗可显著增加囊袋血肿发生的风险,而不间断华法林可能是平衡利弊的优秀策略。现对长期抗凝者心脏植入型电子装置植入围手术期抗凝策略的现状和进展进行综述。
Abstract:
A large proportion of patients who require cardiovascular implantable electronic devices(CIED)implantation surgery are receiving long-term anticoagulant therapy, undertaking risks of both hemorrhagic and thromboembolic events during perioperative period. Most guidelines recommend altering anticoagulant regimens according to thromboembolism risks. The use of perioperative heparin bridging or dual antiplatelet therapy significantly increases the risk of pocket-hematoma. Warfarin continuation appears promising in terms of balancing the pros and cons. This article aims at reviewing the current status and potential development of CIED perioperative management of anticoagulant therapy.

参考文献/References:

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备注/Memo

备注/Memo:
作者简介:姜运秋(1993—),在读硕士,主要从事心脏起搏与电生理研究。Email:jiangyq@mail.ccmu.edu.cn
通信作者:田颖(1973—),副主任医师,博士后,主要从事心律失常的起搏和消融治疗研究。Email:octorty2000@163.com
更新日期/Last Update: 2016-02-20