Bugsy
Well-known member
I've been researching lovenox bridging on the site and wonder if any of you have input on an upcoming procedure I'm having. Some background information, I have had a carbomedics mitral valve since 2006 and have successfully managed my INR from home for the majority of that time. I have rosacea and as a result am having a rhinophyma removed via CO2 laser. My cardiologist wants me to stop warfarin 5 days prior to the procedure and bridge with lovenox. After doing some reading here (and this article Pellicle referenced in another post The perioperative management of anticoagulation) I'm wondering if there may be more risk in taking the lovenox. I'd have to look at the notes my doc gave me to be sure but I believe it was 5 days prior to procedure stop warfarin, 4 and 3 days prior one shot lovenox per day, 2 days prior 2 shots lovenox, day before procedure 1 shot lovenox, day of procedure nothing and day after 1 shot lovenox, resume warfarin and check INR. Does this sound correct or is my doc being overly cautious?
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