Table 3.
Age, mean ( SD) years (range) | 68.3 9.7 (35–88) |
Male gender (%) | 385 (80%) |
Mean duration of warfarin usage, years | 5.8 6.1 (1 month–39 years) |
Reason for warfarin | |
Atrial fibrillation | 217 (45%) |
Aortic or mitral valve replacement | 48 (10%) |
Deep vein thrombosis and/or pulmonary embolism | 122 (25%) |
Cerebrovascular event | 38 (8%) |
Other* | 58 (12%) |
Endoscopic procedures | |
Colonoscopy | 347 (72%) |
Polypectomy (snare, hot or cold biopsy) | 161 (47%) |
Upper endoscopy (EGD) | 145 (30%) |
EGD and colonoscopy | 28 (6%) |
Endoscopic ultrasound | 7 (1%) |
Flexible sigmoidoscopy | 9 (2%) |
Endoscopic retrograde pancreatography | 3 (0.6%) |
Patients with change in warfarin dose | 346 (72%) |
Temporary cessation, mean (SD) days (range) | 437 (90%), 5 2.4 days (1–30) |
Unfractionated heparin | 7 (1%) |
Low-molecular-weight heparin | 107 (22%) |
Mean no. of days (before, after procedure) | 4.4, 4.8 |
Dose reduction by 50% before procedure | 9 (2%) |
Aspirin usage | 106 (22%) |
Temporary cessation | 70 (66%) |
Includes factor 5 Leiden deficiency (8 patients), protein C or S deficiency (4 patients), myocardial infarction or CABG (9 patients), congestive heart failure and/or cardiomyopathy (3 patients), lupus anticoagulant (2 patient), primary pulmonary hypertension (1 patient), and other causes (31 patients).