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Showing posts with the label ERCP sphincterotomy warfarin DOAC NOAC clexane LMWH heparin antithrombotic bleeding

Anticoagulation and Endoscopy procedures

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 Source- UTD https://www.jtcvs.org/action/showPdf?pii=S0022-5223%2818%2931859-2 Endoscopic Sphincterotomy  - Risk of bleeding persist for upto 3 to 5 days after sphincterotomy           Low to Mod risk of Thrombosis: Delay attaining therapeutic anticoagulation for 3 to 5 days after                                                                 For eg: Re-start Warfarin at day 3 / Restart DOAC at day 5                      High risk of Thrombosis:  Re-start Warfarin on the evening of procedure / LMWH 48H after / DOAC day 5  - UFH 24-48H post.                     Mechanical Heart valves: Mechanical Mitral / Pulmonary vaalve - HIGHEST risk Mechanical Aortic valve - low to moderate ri...