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Although this form of anticoagulant therapy is much less convenient heparin has a short life span in the body and will be cleared rapidly after stopping therapy. Coumadin® for several days while continuing to thin the blood with heparin up until the elective operation is performed. Coumadin® effect has worn off (usually about 3 days) the heparin can be stopped shortly before the start of the elective operation. Coumadin® is then restarted when the patient can take oral medications. Coumadin® effect has been obtained again heparin infusions are stopped. The safety of operating without any anticoagulation on board must be weighed against the inconvenience(s) of these additional steps. Coumadin® is still in effect at the time of your surgery. However it is potentially dangerous to undergo some elective operations while anticoagulated. You should conference with your surgeon and ask whether Coumadin® should be temporarily stopped around the time of the upcoming operation.

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