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Perioperative Heparin Bridging in Patients With...
Journal article

Perioperative Heparin Bridging in Patients With Mechanical Aortic Valves Undergoing Elective Surgery: The AMBER Study.

Abstract

BACKGROUND: The benefit-risk balance of perioperative low-molecular-weight heparin (LMWH) bridging in patients with bileaflet mechanical aortic valves undergoing elective procedures is uncertain. While intended to prevent thromboembolism during warfarin interruption, LMWH may increase bleeding risk without a proven efficacy benefit. OBJECTIVES: This study aimed to evaluate the rates of thromboembolism and bleeding associated with different …

Authors

Godoy A; Grewal TS; Bhagirath V; Tafur A; McNiven Fontani A; Casanegra AI; Ghorbanzadeh A; Houghton DE; Abdulrehman J; Galanaud J-P

Journal

JACC Adv, Vol. 5, No. 2,

Publication Date

January 23, 2026

DOI

10.1016/j.jacadv.2025.102578