IR Coag Guidelines

UMC Interventional Radiology Standardized Approach for Assessment and Management of Periprocedural Bleeding Risk and Anticoagulant and Antiplatelet Agents


As of 3/28/20:

Changes below reflect multidisciplinary discussion of the Task Force for Blood Use Protocol Committee. These changes are intended to address peri-procedural transfusion thresholds for platelets and fresh frozen plasma given a projected shortage of available blood products during the COVID-19 pandemic. Changes from the prior iteration of this document (previously updated 11/4/2019) are in red font.

Anticoagulants

*specified ranges for INR indicate a lower threshold (an ideal for elective procedures) and an upper threshold (to be considered for urgent or emergent cases).

LONG-ACTING DRUGS

SHORT-ACTING DRUGS

Antiplatelet Agents

LONG-ACTING ANTIPLATELET DRUGS

CHA2DS2 VASc Scoring

Sum the scores from each category.

Score ≥ 7 = HIGH THROMBOTIC RISK


DUAL-ANTIPLATELET MANAGEMENT