Current recommendation of antithrombotic treatments in LVAD and TAH
. | Antithrombotic treatment . | Initiation . | Duration/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 treatment . | Initiation . | Duration/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.