ABSTRACT
Due to medical illness or pharmacotherapy, patients undergoing percutaneous interventions
often have abnormal hemostasis. Its etiology may include alterations in the protein-based
coagulation system, thrombocytopenia, deficient platelet function, or mixed deficits
such as disseminated intravascular coagulation. In this article, the authors review
the basic science of each of these etiologies, as well as their available methods
of correction. They also review the evidence and guidelines regarding the assessment
and treatment of coagulopathy in image-guided procedures. The periprocedural bleeding
risk and the urgency of a given procedure guide the management of abnormal hemostasis
in this patient population.
KEYWORDS
Anticoagulation - platelets - coagulopathy - disseminated intravascular coagulation
- reversal
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Kimi L KondoD.O.
Assistant Professor, Department of Radiology, University of Colorado Denver, Mail
Stop L954
12401 East 17th Avenue, Room 537, Aurora, CO 80045
eMail: kimi.kondo@ucdenver.edu
