• J. Neurol. Neurosurg. Psychiatr. · Sep 2000

    Case Reports

    Management of intracranial bleeding associated with anticoagulation: balancing the risk of further bleeding against thromboembolism from prosthetic heart valves.

    • F Crawley, D Bevan, and D Wren.
    • Department of Neurology, Atkinson Morley's Hospital, Copse Hill London SW20, UK.
    • J. Neurol. Neurosurg. Psychiatr. 2000 Sep 1; 69 (3): 396-8.

    AbstractMechanical 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.

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