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Breast biopsy

souljacs4 profile image
10 Replies

Are there any ladies here who have had a breast biopsy and are taking apixaban I have been told I have may have to have one and was also told I would have to stop my apixaban don't know why

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souljacs4
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Goldfish_ profile image
Goldfish_

It's a complex decision balancing bleeding risk with thrombotic risk. This is a guideline gloshospitals.nhs.uk/ShareP...

souljacs4 profile image
souljacs4 in reply toGoldfish_

Thank you will take a look at that

BobD profile image
BobDVolunteer

It is normal for anticoagulation to be stopped for any operation, minor or major although some doctors will proceed in some cases. You should only be off for a day or so with apixaban as it has a very short half life.

souljacs4 profile image
souljacs4 in reply toBobD

Thank you Bob

Dadog profile image
Dadog

Interesting. I'm a CHAD2 and on Rivaroxaban. Yesterday I was with a consultant and discussing a required biopsy (prostate unfortunately - not looking forward to that!). Apparently these things can bleed for two or three days. His recommendation was that the drug is stopped 10 days before and restored once any bleeding has stopped. Makes sense to me.

PeterWh profile image
PeterWh in reply toDadog

This seems extremely excessive. See recent post which had link to Gloucester Hospitals policy and guidelines. Also talk to your EP or cardiologist. They may have a fit that it's that long. Mine said unfortunately warfarin is the longest to stop and when I had an angiogram in June that was only for 5 days but I was bridged on clexane to minimise risks.

souljacs4 profile image
souljacs4 in reply toDadog

Hope all goes well with the biopsy.

Dadog profile image
Dadog

Not easy, Peter. I find myself between the devil and the deep blue sea. Telephone calls today with appointments for the scans and biopsy on Monday and Tuesday respectively. That at best, gives me 4 days of no anticoagulant. I'm told to follow this so we shall just have to see. I would have thought that with Rivaroxaban, a couple of days would be fine.

PeterWh profile image
PeterWh

Well that's a big improvement though not as good as the two days!!!

rosyG profile image
rosyG

there are guidelines for each of the NOACS and they relate them to each type of operation- 48 hours is often the longest period - think that consultant is thinking of Warfarin????

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