Related Experiment Video
Updated: Jul 20, 2025
10:28
Interventional Diagnostic Procedure: A Practical Guide for the Assessment of Coronary Vascular Function
Published on: March 15, 2022
5.1K
Current Practices in Anticoagulation Management for Patients Undergoing Percutaneous Image-guided Breast Procedures
Theodore Brown1, Leah Schafer2, Muhammad Mustafa Qureshi3
1Boston University Medical Center, Department of Radiology, Boston, MA, USA.
Journal of Breast Imaging
|July 31, 2023
Summary
Breast imaging practices for antithrombotic management vary widely. Many withhold medications before procedures, but few follow guidelines, increasing thrombotic risk. Adherence to evidence-based guidelines is crucial.
Area of Science:
- Radiology
- Medical Practice Management
Background:
- Antithrombotic medication management for percutaneous procedures varies.
- Understanding current practices in breast and axillary procedures is essential.
Purpose of the Study:
- To investigate current antithrombotic management practices for percutaneous breast and axillary procedures among Society of Breast Imaging (SBI) members.
Main Methods:
- A 20-item survey was distributed to 2094 SBI members in March 2021.
- Data were collected anonymously and analyzed quantitatively, with qualitative analysis of free-text responses.
Main Results:
- 15.6% of members completed the survey; 87% have a policy for antithrombotic management.
- 59% routinely withhold medications before biopsy, with variations by region.
- Many patients on warfarin and direct oral anticoagulants have medications withheld more stringently than guidelines recommend.
Conclusions:
- Breast imaging practices for antithrombotic management are inconsistent.
- A minority of practices comply with recommended withholding guidelines, potentially increasing thrombotic risk.
- Radiologists should adhere to evidence-based guidelines when managing antithrombotic medications to minimize patient risk.
Related Concept Videos
01:29Venous Thrombosis III: Interprofessional Care
10
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
10
01:30Venous Thrombosis IV: Nursing Management
14
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
14
01:28Imaging Studies for Cardiovascular System V: CT
42
Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
42
01:26Cardiac Catheterization IV: Nursing Management
62
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
62
01:13Radiological Investigation III: Pulmonary Angiogram and PET Scan
115
Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
115
01:29Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
10
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
10