Standarddosierungen von Heparinen und Fondaparinux sollten unter Beachtung substanzspezifischer Strategien erhöht werden. Regelmäßige INR-Kontrollen von Phenprocoumon/Warfarin machen spezifische Dosisempfehlungen unnötig. Für DOAK liegen Daten nur bei moderat adipösen Patienten vor, eine Dosisanpassung erscheint hier nicht notwendig. Der Einsatz der DOAK im Rahmen malabsorptiver chirurgischer Eingriffe wird derzeit nicht empfohlen.
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Chobanyan-Jürgens, K., Engeli, S. & May, M. Antikoagulation des adipösen Patienten. CV 17, 38–42 (2017). https://doi.org/10.1007/s15027-017-1143-8
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DOI: https://doi.org/10.1007/s15027-017-1143-8