Potet J, Weber-Donat G, Thome A, Valbousquet L, Peroux E, Konopacki J, Baccialone J, Teriitehau C-A
Service de radiologie, hôpital d'instruction des armées Percy, 101, avenue Henri-Barbusse, 92140 Clamart, France.
J Radiol. 2011 Jul-Aug;92(7-8):659-70. doi: 10.1016/j.jradio.2011.05.006. Epub 2011 Jul 8.
Given the increasing demand for interventional image-guided procedures, radiologists are increasingly sollicited by clinicians to participate in the management of patients prior to and after the interventional procedure, especially with regards to hemostasis. Therefore, radiologists should be familiar with the risk of procedure related hemorrhage. Based on consensus guidelines published by the Society of Interventional Radiology (SIR), the risk of hemorrhage for each interventional procedure will be classified. Recommendations for preprocedure testing based on the type of procedure planned will be reviewed. Finally, limitations of hemostasis parameters will be discussed along with management of anticoagulants and antiplatelet agents before the procedure.
鉴于对介入影像引导手术的需求不断增加，临床医生越来越多地邀请放射科医生在介入手术前后参与患者的管理，尤其是在止血方面。因此，放射科医生应熟悉与手术相关的出血风险。根据介入放射学会（SIR）发布的共识指南，将对每种介入手术的出血风险进行分类。将回顾根据计划的手术类型进行术前检查的建议。最后，将讨论止血参数的局限性以及术前抗凝剂和抗血小板药物的管理。
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