내시경전 항혈소판제, 항응고제 언제 끊어야 하나?

해리슨 19판 자료

Low-risk endoscopic procedures
: EGD, CFS with/without biopsy, EUS without FNA, ERCP with stent exchange

High-risk endoscopic procedures
: EGD or CFS with dilatation, polypectomy, thermal ablation, PEG, EUS with FNA, ERCP with sphincterotomy or pseudocyst drainage.

High-risk for thromboembolism (warfarin 중단 시 Heparin briding therapy 고려)
: MVR, AVR with other risk factors
  – Non-valvular a. fib with a hx. of smoke, embolic event, cardiac thrombus, or CHADS2 score >= 4 points
  –  VTE within the past 3 months or severe underlying thrombophilia

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