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Bleeding risk
Bleeding risk
LOW bleeding risk
LOW bleeding risk
INR ≤ 3*
*NOTE: INR is not reliable in patients with chronic liver disease and should not typically be used to assess bleeding risk in this population. TEG or fibrinogen would be better markers in these cases. This procedure can often be safely performed with INR > 3 in patients with chronic liver disease (should be discussed with an IR attending for approval).
Plt ≥ 20,000
CBC, INR/PT not routinely recommended
Anticoagulant/Antiplatelet Agent
Anticoagulants
Antiplatelets
Antibiotics
Antibiotics
No antibiotic therapy required
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