PMID- 20655153 OWN - NLM STAT- MEDLINE DCOM- 20101230 LR - 20181201 IS - 2214-8116 (Electronic) IS - 0398-0499 (Linking) VI - 35 IP - 4 DP - 2010 Jul TI - [Perioperative use of antithrombotic agents: recommendations of the American College of Chest Physicians (ACCP) and the French Superior Health Authority (HAS)]. PG - 220-34 LID - 10.1016/j.jmv.2010.05.005 [doi] AB - The purpose of this work was to analyse management practices for patients given anticoagulants or antiplatelet agents such as aspirin, clopidogrel and who are to undergo an invasive procedure or surgery. The modalities for the transition from oral agents to low-molecular-weight-heparin (LMWH) or unfractionated heparin (UFH) are studied. The recommendations or suggestions using the ACCP score: grade 1 recommendations are strongly motivated and indicate whether the benefit overbalances or not the risk, the burden, and the cost of the treatment. Grade 2 recommendations are considered to be suggestions. They imply that the individual physician chooses between different therapeutic strategies. For the purpose of this work, the most important recommendations are the following: CI - Copyright 2010. Published by Elsevier Masson SAS. FAU - Samama, M M AU - Samama MM AD - Groupe interdisciplinaire Trousseau sur les antithrombotiques, unite hemostase-thrombose, Hotel-Dieu, Parvis Notre-Dame, 75181 Paris cedex 04, France. MeyerMichel.SAMAMA@biomnis.com FAU - Horellou, M H AU - Horellou MH FAU - Achkar, A AU - Achkar A FAU - Conard, J AU - Conard J CN - collaboration de F Mauriat LA - fre PT - Journal Article TT - La prise en charge perioperatoire des traitements antithrombotiques. Des recommandations de l'American College of Chest Physicians (ACCP) a celles de la Haute Autorite de sante (HAS). DEP - 20100723 PL - France TA - J Mal Vasc JT - Journal des maladies vasculaires JID - 7707965 RN - 0 (Anticoagulants) RN - 0 (Fibrinolytic Agents) RN - 0 (Heparin, Low-Molecular-Weight) RN - 0 (Platelet Aggregation Inhibitors) RN - 9005-49-6 (Heparin) RN - A74586SNO7 (Clopidogrel) RN - OM90ZUW7M1 (Ticlopidine) SB - IM MH - Anticoagulants/therapeutic use MH - Atrial Fibrillation/complications MH - Cardiac Surgical Procedures/*methods MH - Clopidogrel MH - Fibrinolytic Agents/*therapeutic use MH - France MH - Heart Valve Prosthesis Implantation/adverse effects MH - Heparin/therapeutic use MH - Heparin, Low-Molecular-Weight/therapeutic use MH - Humans MH - Platelet Aggregation Inhibitors/therapeutic use MH - Risk Factors MH - Societies, Medical MH - Ticlopidine/analogs & derivatives/therapeutic use MH - United States EDAT- 2010/07/27 06:00 MHDA- 2010/12/31 06:00 CRDT- 2010/07/27 06:00 PHST- 2010/03/22 00:00 [received] PHST- 2010/05/04 00:00 [accepted] PHST- 2010/07/27 06:00 [entrez] PHST- 2010/07/27 06:00 [pubmed] PHST- 2010/12/31 06:00 [medline] AID - S0398-0499(10)00167-8 [pii] AID - 10.1016/j.jmv.2010.05.005 [doi] PST - ppublish SO - J Mal Vasc. 2010 Jul;35(4):220-34. doi: 10.1016/j.jmv.2010.05.005. Epub 2010 Jul 23.