Perioperative management of patients on chronic antithrombotic therapy.

Abstract:

:Perioperative management of antithrombotic therapy is a situation that occurs frequently and requires consideration of the patient, the procedure, and an expanding array of anticoagulant and antiplatelet agents. Preoperative assessment must address each patient's risk for thromboembolic events balanced against the risk for perioperative bleeding. Procedures can be separated into those with a low bleeding risk, which generally do not require complete reversal of the antithrombotic therapy, and those associated with an intermediate or high bleeding risk. For patients who are receiving warfarin who need interruption of the anticoagulant, consideration must be given to whether simply withholding the anticoagulant is the optimal approach or whether a perioperative "bridge" with an alternative agent, typically a low-molecular-weight heparin, should be used. The new oral anticoagulants dabigatran and rivaroxaban have shorter effective half-lives, but they introduce other concerns for perioperative management, including prolonged drug effect in patients with renal insufficiency, limited experience with clinical laboratory testing to confirm lack of residual anticoagulant effect, and lack of a reversal agent. Antiplatelet agents must also be considered in the perioperative setting, with particular consideration given to the potential risk for thrombotic complications in patients with coronary artery stents who have antiplatelet therapy withheld.

journal_name

Blood

journal_title

Blood

authors

Ortel TL

doi

10.1182/blood-2012-05-423228

subject

Has Abstract

pub_date

2012-12-06 00:00:00

pages

4699-705

issue

24

eissn

0006-4971

issn

1528-0020

pii

blood-2012-05-423228

journal_volume

120

pub_type

杂志文章,评审

相关文献

BLOOD文献大全
  • Human regulatory T cells in allogeneic stem cell transplantation.

    abstract::GVHD is still one of the major complications after allogeneic stem cell transplantation. Whereas murine data have clearly shown the beneficial effects of regulatory T cells (Tregs) on the prevention of GVHD, data from the human system are rare. Here, we present a comparative dynamic analysis of CD4(+)CD25(hi)CD127(lo/...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood-2011-05-352708

    authors: Ukena SN,Velaga S,Geffers R,Grosse J,Baron U,Buchholz S,Stadler M,Bruder D,Ganser A,Franzke A

    更新日期:2011-09-29 00:00:00

  • How I treat the young patient with multiple myeloma.

    abstract::The treatment landscape for multiple myeloma has been transformed by the introduction of novel agents, including immunomodulatory drugs, proteasome inhibitors, and monoclonal antibodies. These have been shown to be more effective and generally better tolerated than conventional chemotherapy, with their introduction in...

    journal_title:Blood

    pub_type: 杂志文章,评审

    doi:10.1182/blood-2017-05-693606

    authors: Gandolfi S,Prada CP,Richardson PG

    更新日期:2018-09-13 00:00:00

  • Sequential analysis of hematopoietic reconstitution achieved by transplantation of hematopoietic stem cells.

    abstract::We confirmed that murine hematopoietic stem cells express the c-kit molecule but not lymphohematopoietic lineage markers. These lineage marker-negative c-kit-positive (Lin- c-kit+) cells were further divided according to the uptake of rhodamine-123 (Rh-123). Approximately 1,000 Lin- c-kit+ rhodamine-123dull cells, whi...

    journal_title:Blood

    pub_type: 杂志文章

    doi:

    authors: Okada S,Nagayoshi K,Nakauchi H,Nishikawa S,Miura Y,Suda T

    更新日期:1993-04-01 00:00:00

  • Constitutively activated FGFR3 mutants signal through PLCgamma-dependent and -independent pathways for hematopoietic transformation.

    abstract::Ectopic expression of fibroblast growth factor receptor 3 (FGFR3) associated with t(4;14) has been implicated in the pathogenesis of human multiple myeloma. Some t(4;14) patients have activating mutations of FGFR3, of which a minority are K650E (thanatophoric dysplasia type II [TDII]). To investigate the role of autop...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood-2004-09-3686

    authors: Chen J,Williams IR,Lee BH,Duclos N,Huntly BJ,Donoghue DJ,Gilliland DG

    更新日期:2005-07-01 00:00:00

  • Shear-dependent changes in the three-dimensional structure of human von Willebrand factor.

    abstract::The three-dimensional tertiary structure of human von Willebrand Factor (vWF) on a hydrophobic surface under aqueous conditions and different shear stress regimes was studied by atomic force microscopy (AFM). vWF was imaged by AFM at molecular level resolution under negligible shear stress, under a local applied shear...

    journal_title:Blood

    pub_type: 杂志文章

    doi:

    authors: Siedlecki CA,Lestini BJ,Kottke-Marchant KK,Eppell SJ,Wilson DL,Marchant RE

    更新日期:1996-10-15 00:00:00

  • Proliferative responses to interleukin-3 and granulocyte colony-stimulating factor distinguish a minor subpopulation of CD34-positive marrow progenitors that do not express CD33 and a novel antigen, 7B9.

    abstract::Human hematopoietic colony-forming cells (CFC) express the CD34 antigen (CD34+) as well as differentiation antigens such as CD33 and HLA-DR. CD34+ cells that do not express these latter differentiation antigens have been shown to contain few CFC in direct culture, but generate increasing numbers of CFC when cultured o...

    journal_title:Blood

    pub_type: 杂志文章

    doi:

    authors: Litzow MR,Brashem-Stein C,Andrews RG,Bernstein ID

    更新日期:1991-06-01 00:00:00

  • Erythrocyte vitamin E is oxidized at a lower peroxide concentration in neonates than in adults.

    abstract::Erythrocytes of neonates and adults were incubated with increasing concentrations of H2O2 in the presence of a catalase inhibitor and in the absence of glucose; the pattern of oxidation of vitamin E was analyzed in relationship to that of glutathione, hemoglobin, and polyunsaturated fatty acids (PUFA), and in relation...

    journal_title:Blood

    pub_type: 杂志文章

    doi:

    authors: Vanderpas J,Vertongen F

    更新日期:1985-12-01 00:00:00

  • Enhanced immune activity of cytotoxic T-lymphocyte epitope analogs derived from positional scanning synthetic combinatorial libraries.

    abstract::The pp65(495-503) cytotoxic T-lymphocyte (CTL) epitope from cytomegalovirus (CMV) is universally recognized among CMV+ individuals who express an allele of the human leukocyte antigen A (HLA-A*0201). The relative binding affinity of the epitope to HLA-A*0201 is moderate, and its increased activity might prove benefici...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood.v97.6.1776

    authors: La Rosa C,Krishnan R,Markel S,Schneck JP,Houghten R,Pinilla C,Diamond DJ

    更新日期:2001-03-15 00:00:00

  • Influence of plasma immunoglobulin level on antibody synthesis.

    abstract::In previous experimental animal studies it has been demonstrated that antibody depletion is not followed by increased antibody synthesis. To assess whether these results are conferrable to antibody-depleted humans, we measured free light chains (flcs) as markers of current antibody synthesis in 8 patients treated with...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood-2002-01-0128

    authors: Goldammer A,Derfler K,Herkner K,Bradwell AR,Hörl WH,Haas M

    更新日期:2002-07-01 00:00:00

  • Administration of interleukin-2 (IL-2) results in increased plasma concentrations of IL-5 and eosinophilia in patients with cancer.

    abstract::Peripheral eosinophilia is almost invariably observed during the course of interleukin-2 (IL-2) therapy and is frequently accompanied by the development of a capillary leak syndrome characterized by edema, weight gain, and oliguria. We studied five patients with advanced malignancy treated with IL-2. Eosinophilia was ...

    journal_title:Blood

    pub_type: 杂志文章

    doi:

    authors: van Haelst Pisani C,Kovach JS,Kita H,Leiferman KM,Gleich GJ,Silver JE,Dennin R,Abrams JS

    更新日期:1991-09-15 00:00:00

  • Distribution of complement receptor subtypes in non-Hodgkin's lymphomas of B-cell origin.

    abstract::Surface receptors specific for either the C4b (CR1) or C3d (CR2) component of complement were examined on the neoplastic cells from 30 cases of non-Hodgkin's lymphoma of B-cell origin and on cells derived from 9 normal lymphoid tissues. Lymphocyte suspensions from non-neoplastic peripheral blood, tonsils, and lymph no...

    journal_title:Blood

    pub_type: 杂志文章

    doi:

    authors: Cossman J,Jaffe ES

    更新日期:1981-07-01 00:00:00

  • Identification of CD8alpha+CD11c- lineage phenotype-negative cells in the spleen as committed precursor of CD8alpha+ dendritic cells.

    abstract::CD8alpha+ dendritic cells (DCs) represent a functionally distinct DC subset in vivo, which plays a critical role in initiating various cellular immune responses. However, the committed precursor of CD8alpha+ DCs remains to be identified. We reported here that murine splenic CD8alpha+CD11c- lineage phenotype (Lin)- cel...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood.v100.2.569

    authors: Wang Y,Zhang Y,Yoneyama H,Onai N,Sato T,Matsushima K

    更新日期:2002-07-15 00:00:00

  • In vivo administration of stem cell factor to mice increases the absolute number of pluripotent hematopoietic stem cells.

    abstract::We have examined the effects of administration of stem cell-factor (SCF) on the number and distribution of pluripotent hematopoietic stem cells (PHSC) in normal mice. Using the competitive repopulation assay we found that in vivo administration of SCF increases the absolute number of PHSC per mouse threefold. The incr...

    journal_title:Blood

    pub_type: 杂志文章

    doi:

    authors: Bodine DM,Seidel NE,Zsebo KM,Orlic D

    更新日期:1993-07-15 00:00:00

  • A randomized, placebo-controlled trial of recombinant human granulocyte colony-stimulating factor administration in newborn infants with presumed sepsis: significant induction of peripheral and bone marrow neutrophilia.

    abstract::Host defenses in the human neonate are limited by immaturity in phagocytic immunity. Such limitations seem to predispose infected newborns to neutropenia from an exhaustion of the neutrophil reserve. Among the critical defects thus far identified in neonatal phagocytic immunity is a specific reduction in the capacity ...

    journal_title:Blood

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Gillan ER,Christensen RD,Suen Y,Ellis R,van de Ven C,Cairo MS

    更新日期:1994-09-01 00:00:00

  • Distinct functional programming of human fetal and adult monocytes.

    abstract::Preterm birth affects 1 out of 9 infants in the United States and is the leading cause of long-term neurologic handicap and infant mortality, accounting for 35% of all infant deaths in 2008. Although cytokines including interferon-γ (IFN-γ), interleukin-10 (IL-10), IL-6, and IL-1 are produced in response to in utero i...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood-2013-11-536094

    authors: Krow-Lucal ER,Kim CC,Burt TD,McCune JM

    更新日期:2014-03-20 00:00:00

  • Effect of protein deprivation on erythropoiesis.

    abstract::The effects of protein deprivation on erythropoietin (Ep) production were studied. The posthypoxia plasma Ep levels of rats fed a protein-free diet for only 1 day prior to being exposed to 0.5 atmosphere for 7 hr were significantly lower than those of comparably hypoxic rats maintained on a normal diet. The postthypox...

    journal_title:Blood

    pub_type: 杂志文章

    doi:

    authors: Anagnostou A,Schade S,Ashkinaz M,Barone J,Fried W

    更新日期:1977-12-01 00:00:00

  • All-trans retinoic acid in acute promyelocytic leukemia: long-term outcome and prognostic factor analysis from the North American Intergroup protocol.

    abstract::We previously reported a benefit for all-trans retinoic acid (ATRA) in both induction and maintenance therapy in patients with acute promyelocytic leukemia (APL). To determine the durability of this benefit and identify important prognostic factors, long-term follow-up of the North American Intergroup APL trial is rep...

    journal_title:Blood

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1182/blood-2002-02-0632

    authors: Tallman MS,Andersen JW,Schiffer CA,Appelbaum FR,Feusner JH,Woods WG,Ogden A,Weinstein H,Shepherd L,Willman C,Bloomfield CD,Rowe JM,Wiernik PH

    更新日期:2002-12-15 00:00:00

  • Clonal immunoglobulin gene rearrangements in tissues involved by Hodgkin's disease.

    abstract::The nature of Reed-Sternberg cells, the abnormal cells of Hodgkin's disease, is controversial. Morphological and immunologic marker studies suggested different cells of origin. To investigate a possible B or T cell origin, immunoglobulin and T cell receptor gene analyses were performed on tissues from 11 patients in e...

    journal_title:Blood

    pub_type: 杂志文章

    doi:

    authors: Brinker MG,Poppema S,Buys CH,Timens W,Osinga J,Visser L

    更新日期:1987-07-01 00:00:00

  • Acquisition of the V617F mutation of JAK2 is a late genetic event in a subset of patients with myeloproliferative disorders.

    abstract::An acquired gain-of-function mutation in the Janus kinase 2 (JAK2-V617F) is frequently found in patients with myeloproliferative disorders (MPDs). To test the hypothesis that JAK2-V617F is the disease-initiating mutation, we examined whether all cells of clonal origin carry the JAK2-V617F mutation. Using allele-specif...

    journal_title:Blood

    pub_type: 临床试验,杂志文章

    doi:10.1182/blood-2005-11-009605

    authors: Kralovics R,Teo SS,Li S,Theocharides A,Buser AS,Tichelli A,Skoda RC

    更新日期:2006-08-15 00:00:00

  • The significance of bcr-abl molecular detection in chronic myeloid leukemia patients "late," 18 months or more after transplantation.

    abstract::The bcr-abl chimeric messenger RNA is frequently detected in chronic myeloid leukemia (CML) patients after bone marrow transplantation. It was previously reported that the relapse risk of bcr-abl detection 6 to 12 months after transplantation was greater than 40%. This risk decreased as the time between transplantatio...

    journal_title:Blood

    pub_type: 临床试验,杂志文章

    doi:10.1182/blood.v98.6.1701

    authors: Radich JP,Gooley T,Bryant E,Chauncey T,Clift R,Beppu L,Edmands S,Flowers ME,Kerkof K,Nelson R,Appelbaum FR

    更新日期:2001-09-15 00:00:00

  • Common Epstein-Barr virus (EBV) type-1 variant strains in both malignant and benign EBV-associated disorders.

    abstract::In the present study, Epstein-Barr virus (EBV) isolates from 18 malignant tumors (angioimmunoblastic lymphadenopathy [AILD], n = 4; Hodgkin's disease [HD], n = 3; pleomorphic T-cell non-Hodgkin's lymphoma [T-NHL], n = 1; B-cell non-Hodgkin's lymphoma [B-NHL], n = 8; gastric carcinoma, n = 2) as well as from 10 tonsils...

    journal_title:Blood

    pub_type: 杂志文章

    doi:

    authors: Schuster V,Ott G,Seidenspinner S,Kreth HW

    更新日期:1996-02-15 00:00:00

  • Defensin promotes the binding of lipoprotein(a) to vascular matrix.

    abstract::Retention of lipoproteins within the vasculature is a central event in the pathogenesis of atherosclerosis. However, the signals that mediate this process are only partially understood. Prompted by putative links between inflammation and atherosclerosis, we previously reported that alpha-defensins released by neutroph...

    journal_title:Blood

    pub_type: 杂志文章

    doi:

    authors: Bdeir K,Cane W,Canziani G,Chaiken I,Weisel J,Koschinsky ML,Lawn RM,Bannerman PG,Sachais BS,Kuo A,Hancock MA,Tomaszewski J,Raghunath PN,Ganz T,Higazi AA,Cines DB

    更新日期:1999-09-15 00:00:00

  • Effects of recombinant human interleukin-3 in patients with normal hematopoiesis and in patients with bone marrow failure.

    abstract::In a phase I/II study, 19 patients with advanced tumors but normal hematopoiesis and nine patients with bone marrow failure and prolonged severe cytopenias were treated with recombinant human interleukin-3 (rhIL-3) to assess the toxicity and biological effects of this multipotential hematopoietic growth factor. Doses ...

    journal_title:Blood

    pub_type: 杂志文章

    doi:

    authors: Ganser A,Lindemann A,Seipelt G,Ottmann OG,Herrmann F,Eder M,Frisch J,Schulz G,Mertelsmann R,Hoelzer D

    更新日期:1990-08-15 00:00:00

  • Functional involvement of RINF, retinoid-inducible nuclear factor (CXXC5), in normal and tumoral human myelopoiesis.

    abstract::Retinoids triggers differentiation of acute promyelocytic leukemia (APL) blasts by transcriptional regulation of myeloid regulatory genes. Using a microarray approach, we have identified a novel retinoid-responsive gene (CXXC5) encoding a nuclear factor, retinoid-inducible nuclear factor (RINF), that contains a CXXC-t...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood-2008-07-170035

    authors: Pendino F,Nguyen E,Jonassen I,Dysvik B,Azouz A,Lanotte M,Ségal-Bendirdjian E,Lillehaug JR

    更新日期:2009-04-02 00:00:00

  • 'Role of bone marrow stromal cells in the growth of human multiple myeloma.

    abstract::We have verified the hypothesis that multiple myeloma (MM) may be disseminated by circulating clonogenic cells that selectively home to the bone marrow (BM) to receive the signal(s) leading to proliferation, terminal differentiation, and production of the osteoclast activating factors. Long-term cultures of stromal ce...

    journal_title:Blood

    pub_type: 杂志文章

    doi:

    authors: Caligaris-Cappio F,Bergui L,Gregoretti MG,Gaidano G,Gaboli M,Schena M,Zallone AZ,Marchisio PC

    更新日期:1991-06-15 00:00:00

  • Prognostic and therapeutic implications of minimal residual disease detection in acute myeloid leukemia.

    abstract::The choice of either induction or postremission therapy for adults with acute myeloid leukemia is still largely based on the "one size fits all" principle. Moreover, pretreatment prognostic parameters, especially chromosome and gene abnormalities, may fail in predicting individual patient outcome. Measurement of minim...

    journal_title:Blood

    pub_type: 杂志文章,评审

    doi:10.1182/blood-2011-08-363291

    authors: Buccisano F,Maurillo L,Del Principe MI,Del Poeta G,Sconocchia G,Lo-Coco F,Arcese W,Amadori S,Venditti A

    更新日期:2012-01-12 00:00:00

  • Recipient T lymphocytes modulate the severity of antibody-mediated transfusion-related acute lung injury.

    abstract::Transfusion-related acute lung injury (TRALI) is a serious complication of transfusion and has been ranked as one of the leading causes of transfusion-related fatalities. Nonetheless, many details of the immunopathogenesis of TRALI, particularly with respect to recipient factors are unknown. We used a murine model of ...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood-2010-05-284570

    authors: Fung YL,Kim M,Tabuchi A,Aslam R,Speck ER,Chow L,Kuebler WM,Freedman J,Semple JW

    更新日期:2010-10-21 00:00:00

  • Prognostic model for high-tumor-burden follicular lymphoma integrating baseline and end-induction PET: a LYSA/FIL study.

    abstract::Both total metabolic tumor volume (TMTV), computed on baseline positron emission tomography (PET), and end of induction (EOI) PET are imaging biomarkers showing promise for early risk stratification in patients with high-tumor-burden follicular lymphoma. A model was built incorporating these 2 factors in 159 patients ...

    journal_title:Blood

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1182/blood-2017-11-816298

    authors: Cottereau AS,Versari A,Luminari S,Dupuis J,Chartier L,Casasnovas RO,Berriolo-Riedinger A,Menga M,Haioun C,Tilly H,Tarantino V,Federico M,Salles G,Trotman J,Meignan M

    更新日期:2018-05-31 00:00:00

  • VH4-34+ hairy cell leukemia, a new variant with poor prognosis despite standard therapy.

    abstract::Hairy cell leukemia variant (HCLv) presents with high disease burden, lack of typical antigens like CD25, and poor response to standard treatments like cladribine. Occasionally, patients with classic HCL respond poorly. Clinical and molecular features of HCL and HCLv has not been compared. Rearrangements expressing im...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood-2009-01-201731

    authors: Arons E,Suntum T,Stetler-Stevenson M,Kreitman RJ

    更新日期:2009-11-19 00:00:00

  • Human erythroleukemia genetics and transcriptomes identify master transcription factors as functional disease drivers.

    abstract::Acute erythroleukemia (AEL or acute myeloid leukemia [AML]-M6) is a rare but aggressive hematologic malignancy. Previous studies showed that AEL leukemic cells often carry complex karyotypes and mutations in known AML-associated oncogenes. To better define the underlying molecular mechanisms driving the erythroid phen...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood.2019003062

    authors: Fagnan A,Bagger FO,Piqué-Borràs MR,Ignacimouttou C,Caulier A,Lopez CK,Robert E,Uzan B,Gelsi-Boyer V,Aid Z,Thirant C,Moll U,Tauchmann S,Kurtovic-Kozaric A,Maciejewski J,Dierks C,Spinelli O,Salmoiraghi S,Pabst T,Shimo

    更新日期:2020-08-06 00:00:00