Delivering High-Quality Oral Anticoagulant Therapy: State of the Art in 2018
Oral anticoagulants are both one of the most commonly prescribed classes of medication and one associated with the high risk of major complications. This session will focus on the optimal management of this class of medication. It will include discussions of clinically important drug interactions with oral anticoagulants, the role of specialized anticoagulation services, and tips for using vitamin K antagonists.
Dr. Vittorio Pengo will discuss the exclusive use of warfarin treatment in some patient categories despite its decrease after the entry of direct oral anticoagulants (DOACs). The beginning of treatment is of fundamental importance as thrombotic and hemorrhagic complications occur soon after starting treatment as a consequence of poor maintenance of international normalized ratio in the therapeutic range. Dr. Pengo will discuss how to treat an excess or a deficit of anticoagulation after stabilization of treatment, and how to handle bridging therapy in the occasion of surgery or invasive maneuvers. The use of dedicated software helps to perform correct treatment in these patients.
Dr. Sara Vazquez will highlight clinically relevant drug interactions involving both warfarin and DOACs. She will discuss monitoring and management strategies for various types of interactions in addition to providing helpful drug interaction resources for clinicians.
Dr. Nathan Clark will discuss the opportunities for anticoagulation monitoring services to incorporate management of DOACs to optimize anticoagulant drug therapy. Key clinical activities and interventions will be discussed. Dr. Clark will also describe published quality improvement efforts of anticoagulant monitoring service in this setting.
Please plan to attend the ASH Hemostasis and Thrombosis Community Reception, taking place on Monday, December 3, from 6:30 p.m. - 7:30 p.m. on the Upper Level of the San Diego Convention Center on the East Terrace.
Vittorio Pengo, MD
Sara Vazquez, PharmD
Nathan Clark, PharmD
Active, International, Emeritus, and Honorary Members
Associate, International Associate, Student, and Resident Members