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Prolonged prothrombin time and thrombocytopenia are common in patients with cirrhosis. These parameters do not reflect the overall hemostatic rebalance or bleeding risk in the periprocedural setting; however, attempts to correct these parameters remain frequent. We review the literature on periprocedural bleeding risk, bleeding risk factors, and the risk and benefits of hemostatic interventions in patients with cirrhosis. We provide guidance recommendations on evaluating bleeding risk in this patient group and management of hemostatic abnormalities in the periprocedural setting.

Original publication

DOI

10.1111/jth.15562

Type

Journal article

Journal

J Thromb Haemost

Publication Date

18/10/2021

Keywords

cirrhosis, hemorrhage, hemostasis, liver diseases, thrombocytopenia