Table 9. Risk of thromboembolism on patients without anticoagulation therapy. (Not during withholding warfarin for procedure/surgery). (Adapted from Kearon C, Hirsh J. Management of Anticoagulation Before and After Elective Surgery. NEJM 1997; 336:1506-1511).
CONDITIONS RATE* OF THROMBO- EMBOLISM RATE PER DAY RISK REDUCTION WITH THERAPYVENOUS . Acute VTE
. -- Month 0-1
40% / month1.3
80%-- Month 1-3
10% / month 0.3 80%Recurrent VTE
15 % / year 0.04 80%ARTERIAL
.Acute arterial embolism
.-- Month 0-1
15% / month 0.5 66%NVAF
4.5% (1-20) / year 0.01 66%NVAF and previous embolism
12% / year 0.03 66%Mechanical heart valve
8% / year 0.02 75%
- VTE = Venous thromboembolism. NVAF = Non valvular atrial fibrillation. * = Average
- = Varies with type, position, and multiple prostheses.
(Rate of thromboembolism may be higher following holding warfarin and during surgical procedures - "rebound phenomenon")