Table 2.

Current recommendation of antithrombotic treatments in LVAD and TAH

Antithrombotic treatmentInitiationDuration/survey
LVAD UFH As soon as drains allow anticoagulation Stop when INR > 2 
Warfarin After drain removal 2 < INR < 3 long-term treatment 
Aspirin Around day 2 Long-term treatment 
SynCardia UFH After surgery as soon as possible Stop when INR >2 
Warfarin After drain removal 2.5 < INR < 3.5 long-term treatment 
Aspirin Around day 2 Long-term treatment 
Aeson UFH As soon as drains allow anticoagulation Anti-Xa around 0.2 until drain removal 
LMWH After drain removal No biological follow-up long-term treatment 
Aspirin At least 4 d after drain removal Long-term treatment 
Antithrombotic treatmentInitiationDuration/survey
LVAD UFH As soon as drains allow anticoagulation Stop when INR > 2 
Warfarin After drain removal 2 < INR < 3 long-term treatment 
Aspirin Around day 2 Long-term treatment 
SynCardia UFH After surgery as soon as possible Stop when INR >2 
Warfarin After drain removal 2.5 < INR < 3.5 long-term treatment 
Aspirin Around day 2 Long-term treatment 
Aeson UFH As soon as drains allow anticoagulation Anti-Xa around 0.2 until drain removal 
LMWH After drain removal No biological follow-up long-term treatment 
Aspirin At least 4 d after drain removal Long-term treatment 

LMWH, low molecular weight heparin; UFH, unfractionated heparin; LVAD, left ventricular assistance device; INR, International normalized ratio.

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