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Perioperative Management of Patients Receiving Oral Anticoagulants: A Systematic Review Arch Int Med 163:901-908, Dunn,A.S. &Turpie,A.G.G., 2003 See this aricle in Pubmed Article Abstract Most patients can undergo dental procedures, arthrocentesis, cataract surgery, and diagnostic endoscopy without alteration of their regimen. For other invasive and surgical procedures, oral anticoagulation needs to be withheld, and the decision whether to pursue an aggressive strategy of perioperative administration of intravenous heparin or subcutaneous low-molecular-weight heparin should be individualized. The current literature is substantially limited in its ability to help choose an optimal strategy. Further and more rigorous studies are needed to better inform this decision.

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