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Management of Intracranial Bleeding Associated with Anticoagulation: Balancing the Risk of Further Bleeding Against Thromboembolism From Prosthetic Heart Valves
JNNP 69:396-398, Crawley,F. et al, 2000
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Article Abstract
Mechanical heart valves are associated with a risk of thromboembolism and anticoagulation is generally recommended. However, this is inevitably associated with a risk of intracranial bleeding. The case of a patient who sustained an intracranial bleed while taking warfarin for a prosthetic aortic valve and a further tow intracranial bleeds while on heparin as an inpatient is discussed and the literature on the management of intracranial haemorrhage in patients on warfarin with prosthetic valves is reviewed.
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anticoagulant,complications of
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anticoagulant,reversal of
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cerebral embolism
coumarin
heart valve,prosthetic
heart valve,prosthetic,thrombosis
heparin
INR values
intracerebral hemorrhage
intracranial hemorrhage
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treatment of neurologic disorder
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