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Table 5 Direct oral anticoagulant cessation period

From: Direct oral anticoagulants increase bleeding risk after endoscopic sphincterotomy: a retrospective study

 

≤ 1-day cessation

> 1-day cessation

p value

n = 17

n = 25

EST bleeding

5 (29.0%)

1 (4.0%)

0.032

Age > 80 years

15 (88.0%)

14 (56.2%)

0.041

Underlying disease

 Hemodialysis

0

0

1

 Cardiovascular disease

4 (24.0%)

9 (36.0%)

0.505

 Stroke

4 (24.0%)

9 (36.0%)

0.505

 Liver cirrhosis

3 (18.0%)

0

0.059

Combination of antiplatelet drugs

6 (35.0%)

6 (24.0%)

0.498

Heparin replacement

0

12 (48.0%)

< 0.001

APTT before EST in patients with heparin replacement

 

39.6 (31.0–62.6)

 

Platelet count < 100,000/µl

2 (12.0%)

1 (4.0%)

0.556

eGFR

66.5 (31.3–101.5)

57.9 (16.4–94.2)

0.187

The number of patients with eGFR < 60

5 (29.0%)

15 (60.0%)

0.066

Patients with eGFR < 60 who were receiving a reduced dose of DOAC

3/5 (60.0%)

13/15 (86.7%)

0.249

ERCP findings

 Periampullary diverticulum

4 (24.0%)

9 (36.0%)

0.505

 Precut

0

1 (4.0%)

0.99

 Lithotripsy

14 (82.0%)

18 (72.0%)

0.49

 EPLBD

1 (6.0%)

4 (16.0%)

0.632

 ENBD

2 (12.0%)

1 (4.0%)

0.556

Thromboembolism

0

0

1

  1. ENBD Endoscopic naso-biliary drainage, EPLBD endoscopic papillary large balloon dilation, EST endoscopic sphincterotomy, APTT activated partial thromboplastin time, eGFR estimated glomerular filtration rate