- As far as I can interpret, SIR guidelines suggest that lumbar puncture ("low risk") can be performed right through almost any antiplatelet/anticoagulant medication including DOACs, DAPT, heparin ASRA guidelines are much more conservative What's everyone's practice? #medsky #emimccMay 7, 2025 17:19
- doing LPs on therapeutic heparin or DOACs seems pretty insane to me. my main go-to source is the British Association of Neurologists guideline: pubmed.ncbi.nlm.nih.gov/30154234/ you can LP through DAPT if you really have to (IBCC discussion: emcrit.org/ibcc/id/#lum...)