Perioperative medicine & outcomes

Perioperative Factor Xa Inhibitor Discontinuation for Patients Undergoing Procedures With Minimal or Low Bleeding Risk

JAMA Netw OpenPublished Prospective cohort study

Authors' conclusion

In this cohort study, patients with AF receiving a factor Xa inhibitor and undergoing a procedure with minimal to low bleeding risk had low rates of major bleeding and thromboembolism when following the standardized PERIXa protocol for perioperative management of oral anticoagulant treatment

Study context

Population
Patients with atrial fibrillation (AF) undergoing a procedure with minimal to low bleeding risk (endoscopy, dental procedure or ocular surgery), Korea, 2020–2024modified ITT analysis set
Participants
1,902 patients
Outcome
Major bleeding
Follow-up
30 days after the index procedure
Methodological detailsmulticentre, single-arm
  • Multicentre
  • Single-arm

Main finding

As reported in the abstract

30 days

30-day event rate of major bleeding (n = 2)

0.1%

Observational data: associations, not effects.

Secondary outcomes

Composite thromboembolic events · 30 days

No composite thromboembolic events

Major bleeding and thromboembolism by procedure category or factor Xa inhibitor type (subgroup)

No differences by procedure category or factor Xa inhibitor type

Original publication

Perioperative Factor Xa Inhibitor Discontinuation for Patients Undergoing Procedures With Minimal or Low Bleeding Risk. JAMA Netw Open. Published 3 February 2025. doi:10.1001/jamanetworkopen.2024.58742

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.