Bridging unter Antikoagulation und Thrombozytenaggregationshemmung

Abtract

When bridging anticoagulation, the risk of bleeding - compared to the thromboembolic risk - is often underestimated. Bridging is only indicated in case of high (and possibly moderate) thromboembolic risk. When bridging patients with indication for dual antiplatelet therapy, an interdisciplinary case discussion should take place to assess the risk.

Beim Bridging einer Antikoagulation wird das Blutungsrisiko – im Vergleich zum thromboembolischen Risiko – oft unterschätzt. Das Bridging ist nur bei einem hohen (und evtl. bei einem moderaten) thromboembolischen Risiko angezeigt. Beim Bridging von Patienten mit der Indikation zur dualen Thrombozytenaggregationshemmung sollte eine interdisziplinäre Fallbesprechung zur Risikoabschätzung stattfinden.

Schlüsselwörter

Bridging - Antikoagulation - Vitamin-K-Antagonisten - nicht Vitamin-K-abhängige orale Antikoagulanzien

Keywords

Bridging - anticoagulation - vitamin k antagonists - non-vitamin K-dependent oral anticoagulants

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