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Dr. Jan Steffel,
As expected, there were hardly any seats left in the session “New oral anticoagulants / clinical challenges” due to the timeliness of the topic and the list of high ranking speakers. Chaired by Dr. Steffel (Zurich, Switzerland) and Dr. Andreotti (Rome/Italy), Dr. Ottani (Piangipane/Italy) started off the session by explaining the necessity of, and summarizing the modalities for bleeding risk stratification.
Dr. Svensson from Malmo (Sweden) continued on the possibilities of monitoring new oral anticoagulants (NOACs) with a specific emphasis on situations in which it makes sense to do so – and when not. Using 4 patient case scenarios, Dr. Halvorsen (Oslo, Norway) explained the management of patients undergoing percutaneous coronary interventions or electrophysiological testing, with a special note on peri-interventional anticoagulation regimens and the necessity for triple anticoagulation. Finally, Dr. Verheugt from Amsterdam (Netherlands) explained management issues in patients undergoing major and/or urgent surgical procedures, thereby also touching on the possibilities as well as limitations and risks of antagonizing anticoagulation therapy (both vitamin K antagonists as well as NOACs).
Lively discussion amongst the audience, chairpersons and speakers reflected both the high interest in these novel substances, and the desire to use them correctly – even in tricky situations – to maximize patient benefit.
New oral anticoagulants - clinical challenges
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