BMJ JUNE 09, 2021

Postoperative low molecular weight heparin bridging treatment for patients at high risk of arterial thromboembolism (PERIOP2): double blind randomised controlled trial

Michael J. Kovacs, Philip S. Wells, David R. Anderson, et al.

Bottom Line

In patients with atrial fibrillation or mechanical heart valves who interrupted warfarin for a procedure, postoperative bridging with dalteparin did not reduce the risk of major thromboembolism compared to placebo and was not associated with an increased risk of major bleeding.

Key Findings

1. The primary efficacy outcome of major thromboembolism within 90 days occurred in 1.0% (8/820) of patients in the dalteparin group versus 1.2% (8/650) in the placebo group (P=0.64; risk difference -0.3%, 95% CI -1.3 to 0.8).
2. Major bleeding within 90 days occurred in 1.3% (11/820) of patients in the dalteparin group compared to 2.0% (13/650) in the placebo group (P=0.32; risk difference -0.7%, 95% CI -2.0 to 0.7).
3. Clinical outcomes were consistent across subgroups, including those with atrial fibrillation alone and those with mechanical heart valves.

Study Design

Design
RCT
Double-Blind
Sample
1,471
Patients
Duration
90 days
Median
Setting
Multicenter, Canada/India
Population Patients aged 18 years or older with atrial fibrillation or mechanical heart valves requiring temporary warfarin interruption for a planned procedure.
Intervention Postoperative subcutaneous dalteparin administered until INR reached >1.9.
Comparator Postoperative placebo administered until INR reached >1.9.
Outcome Major thromboembolism (ischaemic stroke, TIA, proximal deep vein thrombosis, pulmonary embolism, myocardial infarction, peripheral embolism, or vascular death) within 90 days.

Study Limitations

The trial was originally designed for a larger sample size but suffered from recruitment difficulties due to the increasing use of direct oral anticoagulants (DOACs) during the lengthy enrollment period.
A randomization system error at two sites occurred, which necessitated a post-hoc adjustment and led to some concerns regarding allocation concealment and baseline balance.
The number of patients with mechanical heart valves was relatively small (n=304), limiting the ability to draw definitive conclusions exclusively for this high-risk subgroup.
The study took nearly a decade to complete (2007–2016), during which perioperative management standards for atrial fibrillation evolved, potentially limiting generalizability to modern practice.

Clinical Significance

The results suggest that routine postoperative LMWH bridging provides no clinical benefit in reducing thromboembolic events for patients with atrial fibrillation or mechanical valves undergoing warfarin interruption for procedures. These findings support a strategy of omitting postoperative bridging, potentially reducing patient burden and the risk of bleeding associated with bridging, though clinical judgment remains necessary for the highest-risk valve patients.

Historical Context

The PERIOP-2 trial was conceived during a period of uncertainty regarding the necessity of bridging anticoagulation for patients on warfarin undergoing procedures. It followed the publication of the BRIDGE trial (which focused on atrial fibrillation) and aimed to provide long-sought evidence for patients with mechanical heart valves, for whom bridging had long been standard of care despite a lack of high-quality randomized evidence.

Guided Discussion

High-yield insights from every perspective

Med Student
Medical Student

Why is the pharmacokinetic profile of warfarin particularly problematic during the perioperative period, and what physiological mechanism is bridging therapy intended to address?

Key Response

Warfarin has a long half-life and works by inhibiting the synthesis of Vitamin K-dependent clotting factors (II, VII, IX, and X). After stopping warfarin for surgery, it takes several days for INR to drop, and several days to regain therapeutic levels postoperatively. This creates a 'thrombotic window' where the patient is sub-therapeutic. Bridging with a short-acting agent like LMWH is intended to provide anticoagulation during this gap, especially since surgery itself triggers a prothrombotic systemic inflammatory response.

Resident
Resident

How do the findings of the PERIOP2 trial specifically challenge the historical management of patients with mechanical heart valves (MHV) compared to the earlier BRIDGE trial?

Key Response

The 2015 BRIDGE trial demonstrated that bridging was unnecessary and potentially harmful (due to bleeding) in patients with atrial fibrillation. However, BRIDGE excluded patients with mechanical heart valves. PERIOP2 included 319 patients with MHVs and found that postoperative dalteparin did not significantly reduce thromboembolic events compared to placebo, suggesting the 'no-bridge' strategy might be safely extended to certain mechanical valve populations, which were previously considered mandatory candidates for bridging.

Fellow
Fellow

Despite the overall neutral findings of PERIOP2, why must we remain cautious when applying these results to a patient with a caged-ball valve or a mechanical mitral valve replacement with a history of prior stroke?

Key Response

PERIOP2 was underpowered for its mechanical valve subgroup. It originally aimed to recruit many more MHV patients but struggled with recruitment, resulting in a sample size (n=319) that may not detect rare but catastrophic thromboembolic events in the highest-risk subsets. Patients with older valve designs (caged-ball), mitral positions, or multiple risk factors remain at significantly higher risk than those with modern bileaflet aortic valves, and the confidence intervals in PERIOP2 for these subgroups remain wide.

Attending
Attending

In light of PERIOP2, how should the conversation regarding 'informed consent' for perioperative anticoagulation shift when discussing the trade-offs between thromboembolic prevention and postoperative bleeding complications?

Key Response

The study reinforces a paradigm shift: the 'default' should move away from bridging. Attending physicians should emphasize to patients and trainees that the absolute risk of a thromboembolic event is remarkably low (around 1%) even without bridging, whereas the risk of major or clinically significant non-major bleeding is often higher and carries its own morbidity. The 'wise' practice is now to justify why you *are* bridging, rather than why you are not.

Scholarly Review

Critical appraisal through the lens of expert reviewers and guideline development

PhD
PhD

PERIOP2 utilized a double-blind, placebo-controlled design but faced significant recruitment challenges; how does the 'non-inferiority' framework used in this study handle the low event rates observed, and what are the implications for the 'Fragility Index' of the results?

Key Response

With only 10 total primary thromboembolic events across both groups (0.7% vs 0.7%), the study has a very high Fragility Index of 1 (meaning a single event difference could change the statistical significance). For researchers, this highlights the difficulty of powered non-inferiority trials for rare events. Future research might require multi-center registry data or Bayesian approaches to better estimate effect sizes when randomized controlled trials cannot reach sufficient N for rare outcomes like valve thrombosis.

Journal Editor
Journal Editor

As a reviewer, what concerns would you raise regarding the external validity of PERIOP2's 'no-bridge' conclusion, given that all patients received *preoperative* dalteparin and only the *postoperative* phase was randomized?

Key Response

A critical reviewer would note that PERIOP2 is not a 'no-bridge' trial in the purest sense, but a 'no-postoperative-bridge' trial. All patients received dalteparin until 24 hours before surgery. Therefore, the results cannot be used to justify omitting preoperative bridging. Editors must ensure the title and conclusions clearly distinguish between the preoperative and postoperative phases to prevent clinicians from incorrectly extrapolating the safety of omitting the entire bridging protocol.

Guideline Committee
Guideline Committee

How do the PERIOP2 results compare to the 2012/2022 CHEST guidelines regarding mechanical valves, and is there sufficient evidence here to move the recommendation for high-risk MHVs from Grade 2C (suggest bridging) to a recommendation against it?

Key Response

Current CHEST guidelines suggest bridging for patients with MHVs at high risk (mitral, older models, or CVA history). While PERIOP2 is the best RCT evidence we have for MHVs, the small subgroup size and low event rate likely make it insufficient to trigger a 'Strong' recommendation against bridging in high-risk MHVs. It may, however, lead to a 'Weak' recommendation (Grade 2B or 2C) favoring the omission of bridging in lower-risk MHVs (e.g., bileaflet aortic valves without other risk factors).

Clinical Landscape

Noteworthy Related Trials

2009

RE-LY Trial

n = 18,113 · NEJM

Tested

Dabigatran

Population

Patients with atrial fibrillation at risk for stroke

Comparator

Warfarin

Endpoint

Stroke or systemic embolism

Key result: Dabigatran at a dose of 150 mg provided superior efficacy, while the 110 mg dose was non-inferior to warfarin with lower bleeding rates.
2011

ARISTOTLE Trial

n = 18,201 · NEJM

Tested

Apixaban

Population

Patients with atrial fibrillation

Comparator

Warfarin

Endpoint

Stroke or systemic embolism

Key result: Apixaban resulted in fewer strokes and less bleeding than warfarin in patients with atrial fibrillation.
2015

BRIDGE Trial

n = 1,884 · NEJM

Tested

Dalteparin bridging

Population

Patients with atrial fibrillation on warfarin undergoing elective surgery

Comparator

Placebo

Endpoint

Major bleeding and arterial thromboembolism

Key result: Bridging with dalteparin did not reduce the rate of arterial thromboembolism but significantly increased the risk of major bleeding.

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