I think I would, as the risk of thromboembolism with a prosthetic aortic
valve is around 1 in 100 treated patient years. Reverse, wait ?who knows
2 weeks. Of course you need to provide informed consent to
patient....weigh up risk/benefit ratio.
From: Accident and Emergency Academic List
[mailto:[log in to unmask]] On Behalf Of John Ryan
Sent: 12 October 2002 12:16
To: [log in to unmask]
Subject: Anticagulation and Head injuries
I am aware the list has discussed this topic recently but I would like
add a new slant.
Views on how to manage a young man with a head injury and headache
a fall from his bicycle.... CT shows temporal contusion. This chap is
warfairn follwing his aortic valve replacement on a background of
The question is to reverse anticoagulation (INR 3.5) or not ?
Dr John Ryan