Development of an Institutional Periprocedural Management Guideline for Oral Anticoagulants

Crit Pathw Cardiol. 2020 Dec;19(4):178-186. doi: 10.1097/HPC.0000000000000221.


Patients on oral anticoagulation commonly undergo surgery or other invasive procedures. Periprocedural management of oral anticoagulants involves a careful balance of the thromboembolic risk and bleeding risk. To standardize clinical practice at our institution, we developed a guideline for periprocedural management for patients taking oral anticoagulants that incorporates published data and expert opinion. In this article, we present our clinical practice guideline as a decision support tool to aid clinicians in developing a consistent strategy for managing periprocedural anticoagulation and for safely bridging anticoagulation in patients who require it.

MeSH terms

  • Administration, Oral
  • Anticoagulants* / therapeutic use
  • Blood Coagulation
  • Humans
  • Thromboembolism* / prevention & control


  • Anticoagulants