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Myths and Legends

Vitamin K Antagonists Have a Better Safety Profile Than Direct Oral Anticoagulants in Patients Undergoing Bronchoscopic Procedures

Davidson, James F. MD; Sharma, Deepankar MD; Chatterjee, Arjun B. MD; Bellinger, Christina R. MD

doi: 10.1097/CPM.0000000000000125
Clinical Myths & Evidence-based Medicine
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Diagnostic bronchoscopy for obtaining tissue samples is a commonly performed procedure and is an extremely useful diagnostic tool for malignant and benign conditions. A significant proportion of patients who undergo these procedures are anticoagulated for conditions including atrial fibrillation, pulmonary embolism, and deep-vein thrombosis. With new classes of oral anticoagulants being prescribed more frequently, it is important that bronchoscopists are comfortable in the management of direct oral anticoagulants in the perioperative period.

Department of Internal Medicine, Division of Pulmonary, Critical Care, Allergy and Immunologic Disease, Wake Forest School of Medicine, Winston Salem, NC

Disclosure: The authors declare that they have no conflicts of interest.

Address correspondence to: James F. Davidson, MD, Department of Internal Medicine, Division of Pulmonary, Critical Care, Allergy and Immunologic Disease, Wake Forest Baptist Medical Center, Winston Salem, NC 27157. E-mail: jdavidso@wakehealth.edu.

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