Table 2 Pre-procedural anti-platelet and anticoagulation management
From: Transperineal ultrasound-guided prostate biopsy: what the radiologist needs to know
Medication | Discontinue yes/no | Timing of last dose before procedure if discontinuing | Timing of first dose after day of procedure |
|---|---|---|---|
Aspirin | No | Â | Â |
Clopidogrel Ticagrelor | Yes | 6 days | Day + 1 |
Prasugrel | Yes | 8 days | Day + 1 |
Warfarin | Yes | 6Â days (INR check 24Â h prior) | Day 0 (evening) |
Low molecular weight heparin (LMWH) | Yes | Prophylactic > 12 h Therapeutic > 24 h | Day + 1 |
(IV) Unfractionated heparin | Yes | Infusion to stop 4 h prior (PTT < 50 s) | 6 h |
Dabigatran | Yes | GFR > 50- 2 days GFR < 50 – 3 days | Day + 2 |
Rivaroxaban Apixiban | Yes | 2 days | Day + 2 |
Fondaparinux | Yes | Prophylactic > 24 h Therapeutic > 48 h | Day + 1 Day + 2 |