Bleeding Risk for Various Invasive/Surgical Procedures
Low Risk:
 • Dental extractions (1 or 2 teeth), endodontic (root canal) procedure,
 • Subgingival scaling or other cleaning
 • Cataract surgery
 • Dermatologic procedures (e.g. biopsy)
 • Gastroscopy or colonoscopy without biopsies
 • Coronary angiography
 • Permanent pacemaker insertion or internal defibrillator placement (if bridging anticoagulation is not used)
 • Selected procedures (e.g. thoracentesis, paracentesis, arthrocentesis)
Moderate Risk:
 • Other intra-abdominal surgery (e.g. laparoscopic cholecystectomy, hernia repair, colon resection)
 • Other general surgery (e.g. breast)
 • Other intrathoracic surgery
 • Other orthopedic surgery
 • Other vascular surgery
 • Non-cataract ophthalmologic surgery
 • Gastroscopy or colonoscopy with biopsies
 • Selected procedures (e.g. bone marrow biopsy, lymph node biopsy)
 • Complex dental procedure (e.g. multiple tooth extractions)
High Risk:
 • Any surgery or procedure with neuraxial (spinal or epidural) anesthesia
 • Neurosurgery (intracranial or spinal)
 • Cardiac surgery (e.g. CABG, heart valve replacement)
 • Major intra-abdominal surgery (e.g. intestinal anastomosis)
 • Major vascular surgery (e.g. aortic aneurysm repair, aortofemoral bypass)
 • Major orthopedic surgery (e.g. hip or knee replacement)
 • Lung resection surgery
 • Urological surgery (e.g. prostatectomy, bladder tumour resection)
 • Extensive cancer surgery (e.g. pancreas, liver)
 • Reconstructive plastic surgery
 • Selected procedures (e.g. kidney biopsy, prostate biopsy, cervical cone biopsy, pericardiocentesis, colonic polypectomy)

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Dr. Gerald Diaz @GeraldMD · 6 years ago
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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