J Spandorfer

Thomas Jefferson University, Philadelphia, PA, United States

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Publications (6)68.19 Total impact

  • J Spandorfer
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    ABSTRACT: Patients maintained on warfarin for atrial fibrillation, mechanical heart valves, or deep venous thrombosis may occasionally need to stop their anticoagulation during invasive procedures. This article reviews the literature on bleeding risks of certain procedures, thrombosis risks of stopping anticoagulation, and heparin and warfarin pharmacokinetics. Recommendations regarding how to manage anticoagulated patients are discussed.
    Medical Clinics of North America 10/2001; 85(5):1109-16, v. · 2.80 Impact Factor
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    ABSTRACT: Patients who require chronic anticoagulation and a procedure have been traditionally managed either by stopping warfarin and starting intravenous standard heparin or by adjusted dose subcutaneous standard heparin or taken off all anticoagulation for a week before the procedure. Enoxaparin may be useful as an alternative method of anticoagulation, avoiding hospitalization and the need for frequent monitoring.
    The American Journal of Cardiology 09/1999; 84(4):478-80, A10. · 3.43 Impact Factor
  • J Spandorfer, G Merli
    New England Journal of Medicine 10/1997; 337(13):938-9; author reply 939-40. · 54.42 Impact Factor
  • John M. Spandorfer, Geno J. Merli
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    ABSTRACT: Increasingly, primary care providers are caring for patients who require anticoagulation. In this article the indications for, complications of, and methods of dosing and monitoring warfarin in the outpatient setting are reviewed. Heparin use among ambulatory patients also is discussed.
    Medical Clinics of North America 04/1996; 80(2):475-91. · 2.80 Impact Factor
  • G J Merli, J Spandorfer
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    ABSTRACT: Approaching the patient with unilateral leg swelling presents a challenge to the physician in ambulatory practice. Contributing to the difficulty is the lack of studies that have assessed a population of patients presenting with unilateral leg swelling. The purpose of this article is to discuss unilateral leg swelling with respect to the chronicity of the presentation and the most common differential diagnoses based on a review of the current literature and personal clinical experience.
    Medical Clinics of North America 04/1995; 79(2):435-47. · 2.80 Impact Factor
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    ABSTRACT: Ulcers of the lower extremities are a common problem in ambulatory care. Patients with lower extremity ulcers tend to be treated by physicians in a variety of specialties which often opens their care to a multitude of interventions. It has been estimated that between 400,000 and 500,000 people have had leg ulcers in the United States.1 The prevalence of disease requires accurate assessment and management strategies in light of managed care constraints on health care dollars. The purpose of this article is to review the differential diagnosis of lower extremity ulceration and the approach to its assessment.
    Clinics in Dermatology 01/1994; 12(1):11-7. · 1.93 Impact Factor