Using several case studies, these authors discuss guidelines on perioperative anticoagulation and share insights from their protocol approach for foot and ankle surgery patients who are on long-term warfarin therapy. For patients on long-term anticoagulation for past venous thromboembolism, atrial fibrillation or mechanical heart valves, physicians have historically bridged these patients with low molecular weight heparin during the period of warfarin interruption for elective surgery.
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Addressing dilemmas with new anticoagulation guidelines and their application to podiatric surgery