This blog summarizes the 2019 Society of Interventional Radiology (SIR) for Periprocedural Management of Image-guided Procedures with regards to thrombocytopenia, coagulopathies, antiplatelets and anticoagulation.  The SIR guidelines are summarized as follows: Anticoagulation with heparin, LMWH, fondaparinux, argatroban, warfarin, DOAC, clopidogrel, ticagrelor…
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Historically, it was felt that a platelet count below 50,000 or an INR>1.5 was a contraindication to thoracentesis for an increased bleeding risk.  These were arbitrary cut-offs that have since been challenged with newer kits and the use of ultrasound-guided…
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