Approach to management of LIC perioperatively
Figure 3 summarizes our current approach to these patients. While LMWH has been the anticoagulant most used49, some have experience with direct oral anticoagulants (DOAC) as an alternative42,44,50-52. DOAC may be a reasonable therapy post-operatively for patients at low risk of bleeding or who are strongly opposed to a subcutaneous injection.