Camp-Wachsmuth M, Humair J-P, Boehlen F
Service de médecine de premier recours, Département de médecine communautaire, HUG, 1211 Genève 14.
Rev Med Suisse. 2009 Sep 23;5(218):1864-7.
More and more patients are treated with long term oral anticoagulation. The time spent in therapeutic range is often limited since many factors affect INR. Too high or too low INRs increase respectively the hemorrhagic or thromboembolic risks. INR monitoring by a capillary device either in autonomy (self-management) by some selected patients or in relation with the treating physician (self-control), allows increasing the time spent in therapeutic range. Capillary INR monitoring can also be made at the medical office: it is less invasive and provides a quicker answer than a venous INR.