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For patients with recent post-delivery symptomatic ovarian vein thrombosis on anticoagulation, how would you approach periop AC management for upcoming procedures like D&C?
No concurrent or prior history of DVT/PE. On DOAC, like apixaban.
Do you consider bridging with heparin if the procedure is within 30 days of the ovarian vein thrombosis and/or within the 6 week postpartum period?
Answer from: at Academic Institution
Nevertheless, I would first determine if the D&C needed to be performed so soon after diagnosis of the ovarian vein thrombosis or if it could be delayed. If it needs to be performed sooner, communicate with the proceduralist to determine if the anticoagulation needs to be interrupted. A number o...
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