Analysis and Monitoring of Perioperative Antithrombotic Therapy in 4 Pa-tients Undergoing Left Ventricular Assist Device Implantation
Clinical pharmacists monitored perioperative antithrombotic therapy in four patients who un-derwent left ventricular assist device implantation after long-term anticoagulation therapy,aiming to summa-rize the focus of perioperative antithrombotic therapy in this patient population.The results revealed that clinical pharmacists assessed the thrombotic and bleeding risks of patients through preoperative discussions,determined the timing of discontinuing antithrombotic medications and bridging therapy before surgery,and adjusted the dosage and administration timing of postoperative antithrombotic medications through pharma-ceutical monitoring,they also identified drug interactions,which reduced the incidence of perioperative thrombotic or bleeding events in patients.
Left ventricular assist deviceArtificial heartPerioperative periodAnticoagulant manage-mentPharmaceutical monitoring