Approach to management of LIC perioperatively
Figure 3 summarizes our current approach to these patients. While LMWH
has been the anticoagulant most used49, some have
experience with direct oral anticoagulants (DOAC) as an
alternative42,44,50-52. DOAC may be a reasonable
therapy post-operatively for patients at low risk of bleeding or who are
strongly opposed to a subcutaneous injection.