Department of Radiology, Mayo Clinic College of Medicine, 200 1st St SW, Rochester, MN, 55902, USA.
Department of Cardiovascular Disease, Mayo Clinic College of Medicine, 200 1st St SW, Rochester, MN, 55902, USA.
Abdom Radiol (NY). 2017 May;42(5):1556-1565. doi: 10.1007/s00261-016-1027-x.
Peri-procedural anticoagulant management hinges on the balance of hemorrhagic and thrombotic complications. The radiologist is tasked with accurately assessing the hemorrhagic risk for patients undergoing procedures, taking into account procedural bleeding rates, underlying coagulopathy based on lab tests, and use of anticoagulants. The purpose of this article is to provide a contemporary review of commonly used anticoagulants and, incorporating published evidence, review their management related to image-guided procedures.
围手术期抗凝管理取决于出血和血栓并发症的平衡。放射科医生的任务是准确评估接受手术的患者的出血风险,考虑到手术出血率、基于实验室检查的潜在凝血障碍以及抗凝剂的使用。本文的目的是提供常用抗凝剂的最新综述,并结合已发表的证据,综述其与影像引导手术相关的管理。