Quick Recall

Which of the following statement is FALSE regarding Direct Oral Anticoagulants (DOACs)?

212 Votes



D. Typically, restarting the DOAC 1 day after low risk bleeding procedure or 2 to 3 days after other procedure is recommended is false statement .

Thanks dear Hussain

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Ans is D false statement. Looking at * mechanism of action Onset and duration Half-life of direct Oral Anticoagulants & * What comorbidity or cause patients is on Oral Anticoagulants and risk of thrombotic events * Minor , low ,moderate, high bleeding risk of procedures / Surgeries We can stop oral anticoagulants BEFORE procedures or and start on standard heparin/ lmwh s/c . After that restart Oral anticoagulants as per requirement. After evaluating clinically & blood tests, CBC, clotting, PT, INR, APTT In Emergency procedures or surgery vitamin K, inj trenexa, blood and blood products ( pcv, FFP, cryoprecipitate and platelets concentrate if need as required and Heamatologist Opinion.

For any surgical procedure it is mandatory to stop direct oral anticoagulants before 3 to 5 days. For extraction it is stopped for 3 days before extraction and continued after 3 days of healing of extraction socket.

A cataract & tooth extraction are not major bleeding risk procedures so we should continue DOACs to avoid complications of discontinuation of DOACs.... Premature discontinuation of any oral anticoagulant, including dabigatran, increases the risk of thrombotic events...

Ans is D As DOAC are stopped or with before surgery or procedures

Thanx dr Md Altaf Hussain

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D .. Without test .. Don't start DOAC after low -risk bleeding procedure or 2 to 3 days after other procedures


Thanks doctor

A) false

Answer is D.

Thank you Sir@Dr. Vipin Bihari Jain

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-A- This is perticularly a difficult question since the options are quite similar in instance We can still go with the norm that if the DOACs were used for longerterm basis then discontinuation may not be prescribed considering the withdrawal effects... Tooth extraction mightbe considered minor, I respect the opinions of other Doctors and will be looking forward to learn from their valuable opinions.

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