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ISTH Webinar: Perioperative Management of Patients Receiving Anticoagulant and Antiplatelet Drugs
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ISTH Webinar: Perioperative Management of Patients Receiving Anticoagulant and Antiplatelet Drugs

When: Wednesday, February 21, 2018
21:00 UTC

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ISTH Clinical Core Curriculum Competencies: 11.8, 12.1, 12.2, 13.1, 13.2, 13.3, 13.4, 13.5

February 21, 2018 21:00 - 22:00 UTC | add to calendar

(Feb 21 16:00 EST/Feb 22 8:00 AEDT)


Alex C. Spyropoulos "Perioperative management of patients on chronic warfarin therapy"

This presentation with help practitioners manage patients on chronic warfarin therapy in elective periprocedural settings.  It will include recommendations on the periprocedural timing of interruption and resumption of warfarin, INR monitoring, and use of heparin bridging therapy, if appropriate.

Geoff Barnes "Perioperative management of patients on chronic direct oral anticoagulant therapy"

This presentation will discuss the safe use of direct oral anticoagulation (DOAC) before and after surgical procedures, including efforts to standardize care delivery. It will review published evidence and ongoing clinical trials of periprocedural DOAC management.

Moderator: Jessica Cohen





Alex C. Spyropoulos

Alex C. Spyropoulos, MD received his medical degree from the University of Pennsylvania School of Medicine in Philadelphia, PA. He completed his internship and residency in internal medicine at the University of New Mexico Health Sciences Center in Albuquerque, NM. He is board certified in Internal Medicine.

Dr. Spyropoulos was Founder and former Medical Director of the Clinical Thrombosis Center in Albuquerque, New Mexico. He is a Professor of Medicine at Hofstra, Northwell School of Medicine and System Director of Anticoagulation and Clinical Thrombosis Services for the multi hospital Northwell Health System in NY. He is also a Professor of the Merinoff Center for Patient-Oriented Research as part of the Feinstein Institute for Medical Research.He is co-chair of the Council on Leadership of Thrombosis at Northwell Health System. He is a Fellow of the American College of Physicians, American College of Chest Physicians, International Academy of Clinical and Applied Thrombosis/Haemostasis, and the Royal College of Physicians, Canada.

Dr. Spyropoulos’ research studies, articles, letters, and editorials have been published in over 170 peer-reviewed journals including The New England Journal of Medicine, Blood, Circulation, Annals of Internal Medicine, American Journal of Hematology, American Journal of Medicine, Chest, Thrombosis Haemostasis, American Journal of Cardiology, Journal of Thrombosis and Haemostasis, Journal of the American College of Cardiology, Clinical Applied Thrombosis and Haemostasis, and Thrombosis Research.

Geoff Barnes

Dr. Barnes is a cardiologist and vascular medicine specialist at the University of Michigan in Ann Arbor, Michigan, USA. His research interests include quality improvement in anticoagulation and the use of engineering and implementation science methods to improve anticoagulation care, including perioperative anticoagulation management. He currently serves as the immediate past chair of the ISTH Young Professional Task Force and serves on the ISTH Education committee.

Jessica Cohen

Dr Jessica Cohen received her medical degree from Mount Sinai School of Medicine in New York, NY, and completed her internship and residency in internal medicine at Mount Sinai Hospital in NYC.  She is currently an Assistant Professor of Medicine at Hofstra Northwell School of Medicine and an inpatient hospitalist at North Shore University Hospital in Manhasset, NY.

Throughout her medical training, Dr Cohen consistently worked on projects to improve quality in the healthcare setting. 

In her current position as an academic hospitalist at North Shore University Hospital, she has continued to pursue quality improvement initiatives.  She served as the team lead for developing an evidence-based protocol to rapidly reverse warfarin in emergency situations, and serves as an active member of the health system’s CLOT Collaborative.  Under the CLOT Collaborative, she led a multidisciplinary workgroup of clinicians and pharmacists in creating system level guidelines for both inpatient and outpatient management of DOACS, incorporating evidence based literature and international consensus guidelines into its formulation.  She is also currently pursuing an MBA at Hofstra University in Quality Management for the health system.

Through Northwell Health, she is being mentored by Dr Spyropoulos on implementation of evidence based practice and process improvement around anticoagulation safety.


Supported by an unrestricted educational grant from: 

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