Do not discontinue your medication for anticoagulation without first consulting with your treating physician.

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Coagulation disorders

Most coagulation disorders are drug-induced and thus intended. Anticoagulation prevents coagulation (clotting) of the blood, which is essential for several indications such as after thrombosis or pulmonary embolism, myocardial infarction, endovascular coronary stenting or stroke.

Different medications are used depending on the type of the underlying cardiac, vascular or blood disease. The most frequently used drugs are vitamin K antagonists (coumarins, e.g. Marcumar or Warfarin) or platelet aggregation inhibitors (among which ASS, clopidogrel (e.g. Plavix, Iscover) or ticlopidine) and, more recently, also factor Xa inhibitors such as rivaroxaban (e.g. Xarelto).

Eine Übersicht über häufig angewendete blutverdünnende Medikamente finden Sie hier.

From a surgical perspective, medical anticoagulation may cause severe intra- and post-operative problems because bleeding is difficult to control and may cause life-threatening situations.
Therefore, patients will need to discontinue anticoagulants or will require a modified treatment regimen for an appropriate period of time prior to surgery, if this is compatible with their general health status. Close cooperation between the surgeon and your primary care doctor is essential here.

Do not discontinue blood-thinning medication without first consulting with your primary care doctor!

During the pre-op consultation, inform the surgeon and/or anaesthetist in detail about your anticoagulant medications!

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