Anticoagulation Strategies in the Perioperative Period for Lung Transplant.

Authors :: Barac YD
Klapper J
Pollack A
Poisson J
Welsby I
Hartwig MG
Bottiger B
Source :: The Annals of thoracic surgery [Ann Thorac Surg] 2020 Jul; Vol. 110 (1), pp. e23-e25. Date of Electronic Publication: 2020 Jan 22.
Publication Year :: 2020
Abstract: Patients who are undergoing lung transplantation may require systemic anticoagulation in the perioperative period for various indications at the time of the procedure. Four-factor prothrombin complex concentrate has been approved in the United States to reverse the effects of warfarin for patients requiring urgent surgery. We describe a perioperative anticoagulation strategy with warfarin that is reversed before incision using 4-factor complex concentrate for off-pump lung transplant recipients.<br /> (Copyright © 2020 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.)