Does continued antithrombotic therapy increase clinically significant hemorrhagic complications in patients undergoing TRUS-guided prostate biopsy?
Patients undergoing transrectal ultrasound (TRUS)-guided prostate biopsy under sacral anesthesia
Continued antithrombotic therapy
Discontinuation of antithrombotic therapy (implied)
Clinically significant hemorrhagic complicationssafety
Continuing antithrombotic therapy during TRUS-guided prostate biopsy appears feasible and safe, particularly for patients at high thromboembolic risk.
TRUS-guided prostate biopsy under sacral anesthesia appeared feasible without discontinuation of antithrombotic therapy and was not associated with a clear excess of clinically significant hemorrhagic complications. In selected patients, particularly those at high thromboembolic risk, continuing antithrombotic therapy may be a reasonable option, although a modest increase in bleeding risk cannot be definitively excluded.
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Naoki Akagi
Akihiko Nagoshi
Masashi Kubota
International Journal of Urology
Kobe City Medical Center General Hospital
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Akagi et al. (Wed,) studied this question.
www.synapsesocial.com/papers/69df2abce4eeef8a2a6afc57 — DOI: https://doi.org/10.1111/iju.70462