News & Press: Patient Safety

New FactFinder on Anticoagulants and Antiplatelets for Lumbar Medial Branch Blocks

Monday, July 13, 2020  

Myth:  Therapeutic anticoagulation (AC) and antiplatelet agents (APA) should be discontinued prior to lumbar medial branch blocks (LMBB) due to hemorrhagic risks of clinically significant neurological complications.

Fact:  A clinically significant neurological complication due to hemorrhage has never been reported in association with a LMBB procedure, when performed according to practice guidelines.  Conversely, the published literature demonstrates a quantifiable risk of serious thrombotic complications when discontinuing therapeutic AC or APA for spinal injections.

Click here to download this new free SIS FactFinder to delve deeper into the evidence. Explore the many other FactFinders at SpineIntervention.org/FactFinders. Looking to also earn CME while you maintain, develop, or increase your knowledge? Visit the SIS online learning platform, where for a nominal fee, you can review FactFinders and complete a post-test to earn 0.5 AMA PRA Category 1 Credit(s)™.

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