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Surgeon Resistance to Evidence-Based DOAC Management

Some surgeons insist on prolonged DOAC hold and Lovenox bridging, despite normal renal function and guidelines, leading to increased bleed risk. This approach conflicts with evidence-based regimens and poses a dilemma for healthcare providers. The issue seems to stem from a cultural reflex to traditional warfarin protocols and a perceived need for control with Lovenox.

Science, Medicine, Pharmacology