ASGE Advanced Endoscopic Lesion Resection Course | November 2022-Managing Antithrombotic Therapy

Video Transcription

Video Summary

In this video, the speaker discusses the management of antithrombotic therapy, focusing on antiplatelet and anticoagulant therapy in the context of polypectomy and endoscopic procedures. The speaker reviews the mechanisms of antiplatelet and anticoagulant agents and presents data on the risk of post-polypectomy bleeding associated with these medications. The speaker emphasizes that while there is an increased risk of bleeding with antiplatelet therapy and anticoagulation, there are also significant risks associated with discontinuing these therapies, such as cardiovascular events. The speaker presents recommendations from the American College of Gastroenterology and the Canadian Association of Gastroenterology on managing antiplatelet and anticoagulant therapy for elective endoscopy and advanced procedures. They discuss considerations for holding and resuming therapy and touch on the topic of reversal therapy. Overall, the speaker emphasizes the importance of individualized decision-making, considering the bleeding risk of the procedure and the patient's thrombotic risk profile. No credits were granted in the video.

Asset Subtitle

Jasmine Sinha, MD, MPH

Keywords

antithrombotic therapy

antiplatelet therapy

anticoagulant therapy

post-polypectomy bleeding

cardiovascular events

individualized decision-making