Low risk procedure | High risk procedure |
Paracentesis, Thoracentesis, Lumbar puncture, Catheter exchange | Biliary interventions, TIPS, Ablations, Deep biopsies or abscess drainage |
PT/INR and platelet count not routinely recommended, unless bleeding risk | PT/INR and platelet count routinely recommended |
Thresholds: Correct INR to 2.0-3.0 Transfuse platelets if < 20 | Thresholds: Correct INR to 1.5-1.8 Transfuse platelets if < 50 |
Standard transfusion thresholds for plasma and platelets for cirrhotic patients (please see referenced paper, Part II- Recommendations, for more information)
Emergency critical shortage transfusion thresholds
References
- Davidson JC et al. Society of Interventional Radiology Consensus Guidelines for the Periprocedural Management of Thrombotic and Bleeding Risk in Patients Undergoing Percutaneous Image-Guided Interventions—Part I: Review of Anticoagulation Agents and Clinical Considerations. J Vasc Interv Radiol 2019; 1-13
- Patel IJ et al. Society of Interventional Radiology Consensus Guidelines for the Periprocedural Management of Thrombotic and Bleeding Risk in Patients Undergoing Percutaneous Image-Guided Interventions—Part II: Recommendations. J Vasc Interv Radiol 2019; 1-18
Disclaimer
These documents and content on this website are guidelines during the COVID-19 pandemic. Because new information is released rapidly, these documents can be updated or changed at any time. These documents are in no way to be considered as a standard of care and the content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. The information in these documents is provided with no guarantees, accuracy, or timeliness. All content in these documents and website are for informational purposes only and do not constitute the providing of medical advice.