Thrombosis Risk Assessment for Interventional Radiology

High Thrombosis Risk:

  • CHA2DS2-VASc score > 7
  • Mitral Valve Prosthesis
  • Caged-ball or tilting-disc Aortic Valve (Bileaflet Aortic Valve Prosthesis is low risk)
  • Stroke or Transient Ischemic Attack within 6 months
  • Rheumatic valvular heart disease
  • Recurrent idiopathic VTE
  • Venous Thromboembolism within 3 months
  • Venous Thromboembolismof any duration with severe thrombophilia (eg, homozygous factor V Leiden or positive antiphospholipid antibodies)
  • Cancer-associated thrombosis

Low Thrombosis Risk:

  • CHA2DS2-VASc score < 4
  • Bileaflet aortic valve prosthesis
  • Provoked Venous Thromboembolism > 3months
  • Venous Thromboembolism at least 3 mo, with/without nonsevere thrombophilia (eg, heterozygous Factor V Leiden)

Reference:

Patel, Indravadan J., et al. “Society of Interventional Radiology Consensus Guidelines for the Periprocedural Management of Thrombotic and Bleeding Risk in Patients Undergoing Percutaneous Image-Guided Interventions-Part II: Recommendations: Endorsed by the Canadian Association for Interventional Radiology and the Cardiovascular and Interventional Radiological Society of Europe.” Journal of vascular and interventional radiology: JVIR (2019). https://www.ncbi.nlm.nih.gov/pubmed/31229333  

Suggested Link:

https://articl.net/resource/interventional-radiology-medications