Hypo-coagulated patients and ultrasound guided fine-needle aspiration of thyroid nodules: a worry?

Ivo, Catarina; Veríssimo, David; Duarte, Vitória; Silva, Joao; Lopes, Luis; Passos, Dolores; de, Castro Joao Jacome; Marcelino, Mafalda

doi:10.1530/endoabs.63.p757

Cited by 1 publication

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Certain reports disagree on whether anticoagulants or antithrombotic medication should be avoided before ultrasound-guided fine needle aspiration. Some studies have revealed that taking these drugs has no effect on the post-examination hematoma incidence rate; therefore, discontinuing the drug prior to testing is not necessary [10][11][12]. In contrast, other studies recommend discontinuing warfarin, aspirin, or clopidogrel the to five days before FNA [2].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A Case of Diffuse Thyroid Hematoma after Ultrasound-Guided Fine Needle Aspiration

2023

View full text Add to dashboard Cite

Ultrasound-guided fine needle aspiration is an easy, safe, and efficient method of diagnosing thyroid diseases. Recent guidelines and studies have demonstrated that this test has a low incidence of complications; thus, most guidelines do not provide recommendations for post-exam care. However, the risk of serious and fatal bleeding in selected patients with bleeding tendency exists. Although screening tests for coagulation are not always necessary, a thorough assessment of past medical history needs to be made to identify disorders affecting coagulation function and bleeding risk factors, such as the use of antithrombotic drugs. This is a case report of a 70-year-old female patient who continued to take edoxaban and suffered bilateral thyroid hematoma a few hours after ultrasound-guided thyroid fine needle aspiration. The patient successfully recovered after undergoing conservative treatment.

show abstract

Section: Discussionmentioning

confidence: 99%

“…In contrast, other studies recommend discontinuing warfarin, aspirin, or clopidogrel the to five days before FNA [2]. Some researchers have also advocated for the continued use of a recently developed oral anticoagulant, called new oral anticoagulant [11,12]. Edoxaban (30 mg) was being taken by the patient as mentioned above.…”

Section: Discussionmentioning

confidence: 99%