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SIR – Part I

Society of Interventional Radiology Consensus Guidelines for the Periprocedural Management of Thrombotic and Bleeding Risk in Patients Undergoing Percutaneous Image-Guided Interventions—Part I: Review of Anticoagulation Agents and Clinical Considerations

Preamble

In 2012, the Society of Interventional Radiology (SIR) published its first consensus practice guidelines regarding the periprocedural management of coagulation status for percutaneous image-guided interventions (1), which was subsequently revised in 2013 with a discussion of newer anticoagulant agents (2). The present update to both documents incorporates a multidisciplinary approach to the periprocedural management of coagulation status with emphasis on the patient’s clinically relevant comorbidities,…

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SIR – Part II

Society of Interventional Radiology Consensus Guidelines for the Periprocedural Management of Thrombotic and Bleeding Risk in Patients Undergoing Percutaneous Image-Guided Interventions—Part II: Recommendations

Introduction

Part II of the consensus guidelines updates the recommendations for the periprocedural management of thrombotic and bleeding risks in patients who require image-guided interventions (Appendices A and B, available online on the article’s Supplemental Material page at www.jvir.org). Class of recommendation and level of evidence have been assigned in accordance with the Society of Interventional Radiology (SIR) evidence grading methodology (1). In addition to patients with acquired coagulopathies and inherited bleeding disorders, it is estimated that approximately 10% of patients receiving long-term anticoagulation require surgery or another invasive procedure in a given year (2)…

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