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
2019. 5. 3 - SJH