Table of Contents
- For the following procedures, NO lab values are needed
- For the following procedures, platelets should be > 50,000 and INR < 1.5
- For the following procedures, platelets should be > 25,000 and INR <2.0
- For the following procedures, platelets should be > 25,000 and INR < 3.5
- Medications Guidelines Short Form— Haparin/Coumadin/Plavix/Lovenox/ASA/Baby ASA
For the following procedures, NO lab values are needed
Paracentesis, if patient is NOT on Coumadin
Superficial aspiration/abscess//biopsy
IVC filter Placement
Tube check/change (biliary/nephrostomy/G or GJ tubes)
Vascath placement
Central line placement
Peripheral PICC placement
Tunneled (cuffed or non-cuffed) line exchange or removal
Tunneled small caliber (5Fr and 6Fr) central catheters (tunneled PICC) placement
For the following procedures, platelets should be > 50,000 and INR < 1.5
Thoracentesis
Port placement
Transarterial/venous
Arterial PTA/Stent / Venous PTA/Stent
AV fistula/revision
Embolization procedures (UFE/DEB TACE/Y90)
TIPS placement/revision
Solid Organ and Enteric Interventions
“Fresh Stick” biliary/nephrostomy/cholecystostomy tubes
G tube placement/GJ tube placement
Intrathoracic and intraabdominal Biopsy/Drainage/Cholecystostomy tubes
RFA/Cryoablation/Microwave ablation
Pain Management Procedures
Vertebroplasty/kyphoplasty
Nerve block/Epidural Steroid Injection
For the following procedures, platelets should be > 25,000 and INR <2.0
Tunneled large caliber catheter placement
Transjugular liver biopsy
Paracentesis, if patient is on Coumadin
For the following procedures, platelets should be > 25,000 and INR < 3.5
IVC filter retrieval
DVT Thrombolysis
Medications Guidelines Short Form— Haparin/Coumadin/Plavix/Lovenox/ASA/Baby ASA
1. IV heparin to stop 2 hours prior to IR procedures
2. NO change in subcutaneous heparin
3. NO change in any oral medications
- Tube check/change (biliary/neph/G or GJ tubes)
- Vascath placement
- Central line placement
- Peripheral PICC placement
- Tunneled (cuffed or non-cuffed) line exchange or removal
- Tunneled small caliber (5Fr and 6Fr) central catheters (tunneled PICC) placement
- IVC Filter placement and removal
- DVT thrombolysis
- Paracentesis
- Superficial aspiration/abscess//biopsy
4. Stop (Convert if indicated) Coumadin for 5 days prior to IR procedures, Hold evening dose of LMWH
or hold for 12 hours. NO change in other medications
- Any arterial procedures (UFE/DEB TACE/Y90)
- Any venous procedures
- Tunneled large caliber catheter placement
- Transjugular liver biopsy
5. Stop (Convert if indicated) Coumadin and Plavix for 5 days prior to IR procedures, Hold evening dose of LMWH,NO change in ASA
- Port Placement
- Lung/Liver/Intrathoracic/Intraabdominal abscess
- De novo G tube placements
- Epidural Steroid Injection/Vertebroplasty/Kyphoplasty
6. Stop (Convert if indicated) Coumadin, Plavix, ASA and Baby ASA for 5 days prior to IR procedures, Hold evening dose of LMWH.
- TIPS
- Renal Biopsy
- Elective de novo Biliary/Nephrostomy
- RFA/Cryoablation/Microwave ablation
- Lung/Liver/Intrathoracic/Intraabdominal biopsy
- Thoracentesis
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