Semin intervent Radiol 2022; 39(04): 428-434
DOI: 10.1055/s-0042-1758150
Review Article

Correcting Coagulopathy for Image-Guided Procedures

Paula M. Novelli
1   Department of Radiology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania
,
Joshua M. Tublin
2   UPMC Medical Education Program, Pittsburgh, Pennsylvania
,
Philip D. Orons
1   Department of Radiology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania
› Author Affiliations Funding No funding source was applied to this paper.
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Abstract

Patients with acquired coagulopathy often require percutaneous image-guided invasive procedures for urgent control of hemorrhage or for elective procedures. Routine preprocedural evaluation of coagulopathy previously focused on absolute prothrombin time, partial thromboplastin time, international normalized ratio, and platelet count values. Now viscoelastic testing and greater understanding of patient- and drug-specific changes in coagulation profiles can yield better coagulation profile data. More specific reversal agents and profiles combine for less generalized and more titrated transfusion or correction algorithms. This article reviews procedural and patient-specific factors for defining both hemorrhagic risk and correction strategies.

Keywords

interventional radiology - coagulopathy - hemorrhage - hemostasis - clotting disorders


Publication History

Article published online:
17 November 2022

© 2022. Thieme. All rights reserved.

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