내시경전 항혈소판제, 항응고제 언제 끊어야 하나?

 

 

내시경전 항혈소판제, 항응고제 언제 끊어야 하나?

 

해리슨 19판 자료

 

 

Low-risk endoscopic procedures

: EGD, CFS with/without biopsy, EUS without FNA, ERCP with stent exchange

 

High-risk endoscopic procedures

: EGD or CFS with dilatation, polypectomy, thermal ablation, PEG, EUS with FNA, ERCP with sphincterotomy or pseudocyst drainage.

 

High-risk for thromboembolism (warfarin 중단 시 Heparin briding therapy 고려)

: MVR, AVR with other risk factors

  - Non-valvular a. fib with a hx. of smoke, embolic event, cardiac thrombus, or CHADS2 score >= 4 points

  -  VTE within the past 3 months or severe underlying thrombophilia

 

 

끝.

2019. 5. 3 - SJH

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