NOACs – To bridge or not to bridge?

Periprocedural management of NOACs


See tables below to determine need for briding and/or interrupting NOACs:




Simplified version:  (always interrupt if mod to high HR, consider bridging if high TR)d.JPG






Raval, Amish N. et al. “Management Of Patients On Non–Vitamin K Antagonist Oral Anticoagulants In The Acute Care And Periprocedural Setting: A Scientific Statement From The American Heart Association”. Circulation (2017): CIR.0000000000000477.


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