Management of intracranial bleeding associated with anticoagulation: balancing the risk of further bleeding against thromboembolism from prosthetic heart valves. Issue 3 (1st September 2000)

• Record Type: Journal Article
• Authors: Crawley, Francesca; Bevan, David; Wren, Damian
• Is Part Of: Journal of neurology, neurosurgery and psychiatry. Volume 69:Issue 3(2000)
• Page Start: 396
• Page End: 398
• Publication Date: 2000-09-01
• Subjects: prosthetic heart valves -- intracranial haemorrhage -- heparin -- warfarin; Neurology -- Periodicals; Nervous system -- Surgery -- Periodicals; Psychiatry -- Periodicals; 616.8
• DOI: 10.1136/jnnp.69.3.396
• Languages: English
• ISSNs: 0022-3050

Abstract

Abstract : Mechanical heart valves are associated with a risk of thromboembolism and anticoagulation is generally recommended. However, this is inevitably associated with a risk of intracranial bleeding. The case of a patient who sustained an intracranial bleed while taking warfarin for a prosthetic aortic valve and a further two intracranial bleeds while on heparin as an inpatient is discussed and the literature on the management of intracranial haemorrhage in patients on warfarin with prosthetic valves is reviewed.