ORIGINAL ARTICLE
Year : 2022  |  Volume : 9  |  Issue : 1  |  Page : 40-47

Chronic kidney disease and anticoagulation - Quick overview and practical guide


1 Vascular Surgery Unit, Department of Surgery, Christian Medical College and Hospital, Ludhiana, Punjab, India
2 Department of Vascular Surgery, Christian Medical College, Vellore, Tamil Nadu, India
3 Department of Vascular Surgery, Mayo Clinic, Rochester, Minnesota, USA
4 Department of Vascular Surgery, Sultan Qaboos University Hospital, Muscat, Oman
5 Department of Hematology, Sultan Qaboos University Hospital, Muscat, Oman
6 Department of Nephrology, Christian Medical College, Vellore, Tamil Nadu, India
7 Department of Nephrology, Sultan Qaboos University Hospital, Muscat, Oman

Correspondence Address:
Edwin Stephen
Department of Vascular Surgery, Sultan Qaboos University Hospital, Muscat
Oman
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijves.ijves_90_21

Rights and Permissions

Clinicians managing patients with chronic/end-stage renal disease often are challenged when it comes to anticoagulation in this subset. Unfractioned heparin and warfarin have been in use, and most multidisciplinary teams are comfortable with the drug/s either as prophylaxis or for full anticoagulation. Over the past decade, there has been an increase in the use of low-molecular-weight heparin and more recently of direct oral anticoagulants for anticoagulation. However, there is a reluctance to use these drugs for concern of increased bleeding and management of this complication in patients with renal disease. This paper shares a quick overview of coagulation in chronic/end-stage kidney disease and drugs used for anticoagulation, societal recommendations for their use, with clinical case scenarios, and a proposed management algorithm when patients have a bleed while on anticoagulation.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed350    
    Printed6    
    Emailed0    
    PDF Downloaded28    
    Comments [Add]    

Recommend this journal