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Updated: Sep 4, 2025

Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
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Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function

Published on: March 15, 2022

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Appendix to the Society of Interventional Radiology Consensus Guidelines for the Periprocedural Management of

Horacio Padua1, Anne Marie Cahill2, Rush Chewning3

  • 1Department of Radiology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts.

Journal of Vascular and Interventional Radiology : JVIR
|July 16, 2022
PubMed

Insights

This study offers guidance on anticoagulant and antithrombotic agents for pediatric interventional radiology. It provides consensus-based recommendations for safe medication use in young patients.

Area of Science:

  • Pediatric Interventional Radiology
  • Pharmacology
  • Hematology

Background:

  • Interventional radiology procedures in pediatric patients require careful management of anticoagulation and antithrombotic therapy.
  • Existing guidelines may not adequately address the unique needs of pediatric patients.

Framework:

  • A multidisciplinary writing group conducted a literature search and used a modified Delphi technique to develop recommendations.
  • The framework focuses on procedural risk assessment, medication dosage, and withholding strategies.

Implementation:

  • Recommendations cover procedural risk categorization, laboratory testing thresholds, and specific medication guidance for pediatric practice.
  • The guidance addresses nuances of anticoagulation in pediatric-specific clinical conditions.

Implications:

  • The Society of Interventional Radiology endorses these recommendations for developing institutional protocols.
  • This guidance aims to improve the safety and efficacy of anticoagulation management in pediatric interventional radiology.
Abstract

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