Year 2016 / Volume 108 / Number 2
Review
Management of antiplatelet and anticoagulant therapy for endoscopic procedures: Introduction to novel oral anticoagulants

89-96

DOI: 10.17235/reed.2016.3811/2015

Martha L. González Bárcenas, Ángeles Pérez Aisa,

Abstract
The development of novel antithrombotic therapy in the past few years and its prescription in patients with cardiovascular and circulatory disease has widened the spectrum of drugs that need to be considered when performing an endoscopic procedure. The balance between the thrombotic risk patients carry due to their medical history and the bleeding risk involved in endoscopic procedures should be thoroughly analyzed by Gastroenterologists. New oral anticoagulants (NOACs) impose an additional task. These agents, that specifically target factor IIa or Xa, do not dispose of an anticoagulation monitoring method nor have an antidote to revert their effect, just as with antiplatelet agents. Understanding the fundamental aspects of these drugs provides the necessary knowledge to determine the ideal period the antithrombotic therapy should be interrupted in order to perform the endoscopic procedure, offering maximum safety for patients and optimal results.
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05/02/2016 4:42:11
Una buena revisión actualizada, que tiene que ser leída por todo internista.


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González Bárcenas M, Pérez Aisa Á. Management of antiplatelet and anticoagulant therapy for endoscopic procedures: Introduction to novel oral anticoagulants. 3811/2015


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Publication history

Received: 16/04/2015

Accepted: 07/07/2015

Online First: 20/01/2016

Published: 01/02/2016

Article revision time: 80 days

Article Online First time: 279 days

Article editing time: 291 days


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