Knee surgery looming, Stroke risk. - Atrial Fibrillati...

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Knee surgery looming, Stroke risk.

Tudee profile image
30 Replies

I need knee surgery for full thickness racial tear through meniscus, but need to be off Apixaban for 2 days prior, worrying about the Stroke risk, I am in persistent AF well controlled no episodes of tachy..... thoughts please

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Tudee profile image
Tudee
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30 Replies
Jalia profile image
Jalia

I'm to come off Warfarin 5 days before my hip surgery next week so naturally have similar worries! We'll just have to trust our medics !

10gingercats profile image
10gingercats in reply toJalia

I was off Apixaban for 3 days after an accident which led to a hip replacement. You do not really have a choice.

Tudee profile image
Tudee in reply to10gingercats

Scary stuff, we spend our lives avoiding pitfalls......thank you.

Tudee profile image
Tudee in reply toJalia

Thats it, ...he did say, you are in danger of having a Stroke, eeech....thankyou Jalia but I am in persistent AF 4 years.🤞🤞

Jalia profile image
Jalia in reply toTudee

They have to tell you of all the risks including stroke . I had them read out to me. Every time I had one of my multiple cardioversions a list of risks was read out to me, including death.

Tudee profile image
Tudee in reply toJalia

Gosh you are made of the good stuff Jalia, I have never had surgery of any kindand Im 78, do I have been lucky, when I read on hear all the trials and tribulations you all bravely face, ...I feel a complete ninny. thanks to all.👌👌

Desanthony profile image
Desanthony

No problem I had to come off for 3 days before my total knee replacement two years ago and then go on half dose of anticoagulants for a month had no problems whatsoever.

Tudee profile image
Tudee in reply toDesanthony

That is great news, thank you

fairgo45 profile image
fairgo45 in reply toTudee

I've had knee x twice and shoulder surgery also a gallbladder removal and although your off blood thinners for 5 days it's effectiveness wears off over that time so you'll really only be at a slight risk for a day or so then your back on it.

Good luck with your surgery and don't be like me on being discharged from hospital I was pain free and got my husband to take me shopping .

I paid for it that night my knee was so painful and swollen so go home prop your leg up and do nothing till it's time for some excercise.

Tudee profile image
Tudee in reply tofairgo45

Thank you, I shall bear that advice in mind as I too tend to be a bit ‘gung ho ‘, I hope things have settled down for you now.

mav7 profile image
mav7

Recommend you heed the advice of your surgeon/doctor.

There have been cases of blood clots forming for those having surgery, especially knee or leg surgery. But those cases likely did not include patients that were previously on anticoagulants.

Good Luck and may you have a speedy recovery !

bantam12 profile image
bantam12

I’ve had several ops and been off Apixaban for 5 and 7 days.

RoyM profile image
RoyM

I have had Permenent AF for the last six years and recently underwent a surgical procedure I was advised to stop taking Apixaban for three days prior and for two days after the surgery...worrying but everything was fine.

Tudee profile image
Tudee in reply toRoyM

👍

Tudee profile image
Tudee in reply toRoyM

Thank you Roy, please all went well. 👌👌👌

Transparency21 profile image
Transparency21

I had a hip replacement 8 weeks ago and had to come off Apixaban. I was a little concerned but I think the worse thing you can do is get stressed about it, everything was fine. They have to warn you of all the consequences but there will be thousands of surgical procedures carried out o er the country each year. Just focus on how you are going to feel in the summer when you can walk without all that pain. 😊

Suesouth profile image
Suesouth

I had to come off rivaroxoban for 2 days, 2 weeks ago, for an op, straight back on them day after, no problems!

Tudee profile image
Tudee in reply toSuesouth

Thank you Sue, everyones response has been positive, so I feel more confident now about the procedure, wonderful reassurance from all.

irene75359 profile image
irene75359

I think for anyone on anticoagulants, it is nerve-wracking coming off for a medical procedure; I have had to do this a number of times although I had bridging as long as I could. I just told myself, I am being monitored and if anything happens I am in the best place for very quick treatment. It may reassure you that I have never heard of anyone suffering a stroke during an op on this forum. Best of luck!

Tudee profile image
Tudee

Oh thank you Irene for your lovely reassuring response, Im grateful and hope that you are in ‘fine fettle’ and enjoy your day.

milehighlinnie profile image
milehighlinnie

I’ve done it several times. It’s OK. They know what they are doing and I believe if they really thought we were in danger they would not proceed. Just stay calm and get your procedure done. You will feel much better.

Auriculaire profile image
Auriculaire

I came off for 3 days before a hip op and it was not restarted till day after so 4 days off in total. No problems. Hope the op goes well .

Hi Tudee, I think this happens fairly often and if you stop to think about it, there must have once been a time when you had already had AF but were not yet diagnosed, and weren't taking an anti-coagulant. Hopefully you avoided a stroke then and I think that having a clot/stoke after stopping suddenly for just a couple of days would be unusual if not absolutely impossible, so try not to worry too much.

Tudee profile image
Tudee in reply to

You have just read my mind, ! I was thinking of the multiple PAF episodes I had,, often seeking advice on here, and the help I received being talked down from a panic attack, pure gold. I wasn’t on anti coagulants then and my GP was loathe to start them too, yet I survived about 4 years of it. .....many thanks

JantheNana profile image
JantheNana

I was just diagnosed with Afib four days ago so all this info is new to me. I am trying to soak it all in. I also am having knee replacement in 3 weeks,my second one. Had first one done back in August.

Tudee profile image
Tudee in reply toJantheNana

Oh it is all new to you, there are so many knowledgeable members on here you will never be short of sound advice, good luck with your op. when it comes around.

minidoxie profile image
minidoxie

good luck on your surgery👍😀

LizLancashire profile image
LizLancashire

I had a car accident last year and was taken off edoxaban for the first 8 days I was in hospital. I expressed great concern but I was told it was quite safe. I had to have second op at the beginning of January and stopped taking it again 3 days before. I felt more nervous because I was at home and not being checked in hospital but everything was fine.

Tudee profile image
Tudee in reply toLizLancashire

That must have been a dreadful experience for you Liz, good to hear you are doing well, and your experience as positive regards Edoxaban, heartening to hear, thank you for sharing..

Jetcat profile image
Jetcat

Try not to worry too much Tudee, like others have said the medics have to tell us of any risks etc. but they know what they are doing.👍

Iv had lots of surgery over the years from limbs repaired with pins/plates. Iv had a eye removed as a child because of a accident, then more surgery to have coral implant in the eye muscle.!! three PVI ablations. And on each operation I was more worried because of the what iffs than the actual surgery.!!!

I’m still here to tell the tale though.👍👍

Take it easy and best wishes. Ron.

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