What I did was stop the Coumadin 5 days before, and then 4 days before started
Lovenox to bridge up until the surgery (
Lovenox is a subcutaneous injection
and is a
Low Molecular Weight Heparin that will keep the blot thin enough to prevent clotting). The night of the day of the procedure I had, I restarted the Coumadin, and the following day after the surgery used Lovenox for 2 days giving the Coumadin time to begin building back up again.