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  • Title: Management of Perioperative Anticoagulation for Device Implantation.
    Author: Stewart MH, Morin DP.
    Journal: Card Electrophysiol Clin; 2018 Mar; 10(1):99-109. PubMed ID: 29428146.
    Abstract:
    Periprocedural management of anticoagulation for cardiac device implantation has evolved over the past 20 years. The traditional paradigm of vitamin K antagonist interruption with heparin bridging has now been shown to be less safe than continuation of vitamin K antagonists at therapeutic levels. Dual antiplatelet therapy during device implantation poses substantial risk but is often necessary. The safest dosing strategy for newer direct oral anticoagulants is still not clear.
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