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Table 2 Items of the perioperative checklist

From: Perioperative management of patients on direct oral anticoagulants

➢ The thrombo-embolic risk of the patient  
➢ The bleeding risk of the patient  
➢ Timing of stopping DOAC before an invasive procedure:
  • The bleeding risk of the invasive procedure
  • The elimination half-life of the DOAC used depending on the patient’s
    ° renal function, liver function, and co-medication
➢ Specific considerations for some invasive procedures:
  ° Neuraxial anesthesia
  ° Atrial fibrillation ablation
➢ When should bridging therapy with heparin be suggested?  
➢ Resuming a DOAC after an invasive procedure or surgery