{"id":331,"date":"2020-04-06T21:04:22","date_gmt":"2020-04-06T19:04:22","guid":{"rendered":"http:\/\/toulouse-thyroide.fr\/?page_id=331"},"modified":"2021-04-14T16:21:43","modified_gmt":"2021-04-14T14:21:43","slug":"adaptation-des-traitements-anti-agregants-et-anti-coagulants-avant-cytoponction-thyroidienne-ou-ganglionnaire","status":"publish","type":"page","link":"https:\/\/toulouse-thyroide.fr\/?page_id=331","title":{"rendered":"Adaptation des traitements anti-agr\u00e9gants et anti-coagulants avant cytoponction thyro\u00efdienne ou ganglionnaire"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"331\" class=\"elementor elementor-331\" data-elementor-settings=\"[]\">\n\t\t\t\t\t\t<div class=\"elementor-inner\">\n\t\t\t\t\t\t\t<div class=\"elementor-section-wrap\">\n\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4a095016 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4a095016\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-1bfc5875\" data-id=\"1bfc5875\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-44b8ea43 elementor-widget elementor-widget-text-editor\" data-id=\"44b8ea43\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\"><p><!-- wp:list --><\/p>\n<ul>\n<li><strong>Traitements anti-agr\u00e9gants\u00a0<\/strong><\/li>\n<\/ul>\n<p><!-- \/wp:list --><!-- wp:paragraph --><\/p>\n<p><strong>Principe\u00a0: <\/strong><\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph --><\/p>\n<p>Arr\u00eat du traitement anti-agr\u00e9gant si possible avant le geste de fa\u00e7on \u00e0 r\u00e9duire le risque de pr\u00e9l\u00e8vement h\u00e9morragique non contributif justifiant le renouvellement de la ponction.<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph --><\/p>\n<p>Avis du cardiologue si besoin pour autoriser l\u2019arr\u00eat du traitement.<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph --><\/p>\n<p>Ponction cependant r\u00e9alisable sous traitement anti-agr\u00e9gant en cas d\u2019impossibilit\u00e9 d\u2019arr\u00eat m\u00eame quelques jours (stent r\u00e9cent par exemple).<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph --><\/p>\n<p><strong>Dur\u00e9e de sevrage\u00a0: <\/strong><\/p>\n<p><!-- \/wp:paragraph --><!-- wp:image {\"id\":332} --><\/p>\n<figure class=\"wp-block-image\"><\/figure>\n<p><!-- \/wp:paragraph --><!-- wp:image {\"id\":333} --><\/p>\n<figure class=\"wp-block-image\"><\/figure>\n<p><!-- \/wp:image --><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-63caafb elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"63caafb\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-25bc069\" data-id=\"25bc069\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d38a3b2 elementor-widget elementor-widget-image\" data-id=\"d38a3b2\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-image\">\n\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" width=\"750\" height=\"351\" src=\"https:\/\/toulouse-thyroide.fr\/wp-content\/uploads\/2020\/04\/Adaptation-Anti-aggr.png\" class=\"attachment-large size-large\" alt=\"\" decoding=\"async\" srcset=\"https:\/\/toulouse-thyroide.fr\/wp-content\/uploads\/2020\/04\/Adaptation-Anti-aggr.png 931w, https:\/\/toulouse-thyroide.fr\/wp-content\/uploads\/2020\/04\/Adaptation-Anti-aggr-300x140.png 300w, https:\/\/toulouse-thyroide.fr\/wp-content\/uploads\/2020\/04\/Adaptation-Anti-aggr-768x360.png 768w, https:\/\/toulouse-thyroide.fr\/wp-content\/uploads\/2020\/04\/Adaptation-Anti-aggr-930x436.png 930w\" sizes=\"(max-width: 750px) 100vw, 750px\" \/>\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4ce8fbe elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4ce8fbe\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-b5d498d\" data-id=\"b5d498d\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0f11f5e elementor-widget elementor-widget-text-editor\" data-id=\"0f11f5e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\"><ul>\n<li><strong>Traitements anti-coagulants<\/strong><\/li>\n<\/ul>\n<p><strong>Principe\u00a0:<\/strong><\/p>\n<p>Cytoponction non r\u00e9alisable sous anticoagulants oraux AVK (PREVISCAN, COUMADINE) ou Inh-facteur Xa et IIa (XARELTO, ELIQUIS, PRADAXA). Le RDV doit \u00eatre anticip\u00e9 avec discussion de relai par HBPM en fonction de la maladie initiale trait\u00e9e ((INNOHEP, LOVENOX).<\/p>\n<p>Arr\u00eat habituellement n\u00e9cessaire en cas de risque thrombotique s\u00e9v\u00e8re\u00a0: valve cardiaque m\u00e9canique, FA avec ant\u00e9c\u00e9dents d\u2019AVC ou accident isch\u00e9mique transitoire (AIT), et maladie thrombo-embolique veineuse (MTEV) r\u00e9cente de moins de trois mois<\/p>\n<p>Saut de l\u2019injection d\u2019HBPM le jour de la ponction.<\/p>\n<p>Reprise de l\u2019injection d\u2019HBPM le lendemain de la ponction et reprise du traitement oral.<\/p>\n<p>Arr\u00eat du traitement HBPM sous cutan\u00e9 une fois le bilan d\u2019h\u00e9mostase contr\u00f4l\u00e9 par le traitement oral.<\/p>\n<p><strong>Dur\u00e9e de sevrage\u00a0:<\/strong><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f542512 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f542512\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-b74c83d\" data-id=\"b74c83d\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1c1930b elementor-widget elementor-widget-image\" data-id=\"1c1930b\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-image\">\n\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" width=\"750\" height=\"294\" src=\"https:\/\/toulouse-thyroide.fr\/wp-content\/uploads\/2020\/08\/Adaptation-AVK-AOD.png\" class=\"attachment-large size-large\" alt=\"\" decoding=\"async\" srcset=\"https:\/\/toulouse-thyroide.fr\/wp-content\/uploads\/2020\/08\/Adaptation-AVK-AOD.png 933w, https:\/\/toulouse-thyroide.fr\/wp-content\/uploads\/2020\/08\/Adaptation-AVK-AOD-300x118.png 300w, https:\/\/toulouse-thyroide.fr\/wp-content\/uploads\/2020\/08\/Adaptation-AVK-AOD-768x301.png 768w, https:\/\/toulouse-thyroide.fr\/wp-content\/uploads\/2020\/08\/Adaptation-AVK-AOD-930x366.png 930w\" sizes=\"(max-width: 750px) 100vw, 750px\" \/>\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1891605 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1891605\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-a98abef\" data-id=\"a98abef\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e575916 elementor-widget elementor-widget-image\" data-id=\"e575916\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-image\">\n\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" width=\"750\" height=\"505\" src=\"https:\/\/toulouse-thyroide.fr\/wp-content\/uploads\/2021\/04\/AOD-page-1-1024x690.jpg\" class=\"attachment-large size-large\" alt=\"\" decoding=\"async\" srcset=\"https:\/\/toulouse-thyroide.fr\/wp-content\/uploads\/2021\/04\/AOD-page-1-1024x690.jpg 1024w, https:\/\/toulouse-thyroide.fr\/wp-content\/uploads\/2021\/04\/AOD-page-1-300x202.jpg 300w, https:\/\/toulouse-thyroide.fr\/wp-content\/uploads\/2021\/04\/AOD-page-1-768x517.jpg 768w, https:\/\/toulouse-thyroide.fr\/wp-content\/uploads\/2021\/04\/AOD-page-1.jpg 1133w\" sizes=\"(max-width: 750px) 100vw, 750px\" \/>\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-53e479b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"53e479b\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-998c3df\" data-id=\"998c3df\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-column-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a241a4d elementor-widget elementor-widget-image\" data-id=\"a241a4d\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-image\">\n\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" width=\"750\" height=\"582\" src=\"https:\/\/toulouse-thyroide.fr\/wp-content\/uploads\/2021\/04\/OAD-page-2-1024x795.jpg\" class=\"attachment-large size-large\" alt=\"\" decoding=\"async\" srcset=\"https:\/\/toulouse-thyroide.fr\/wp-content\/uploads\/2021\/04\/OAD-page-2-1024x795.jpg 1024w, https:\/\/toulouse-thyroide.fr\/wp-content\/uploads\/2021\/04\/OAD-page-2-300x233.jpg 300w, https:\/\/toulouse-thyroide.fr\/wp-content\/uploads\/2021\/04\/OAD-page-2-768x596.jpg 768w, https:\/\/toulouse-thyroide.fr\/wp-content\/uploads\/2021\/04\/OAD-page-2.jpg 1099w\" sizes=\"(max-width: 750px) 100vw, 750px\" \/>\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Traitements anti-agr\u00e9gants\u00a0 Principe\u00a0: Arr\u00eat du traitement anti-agr\u00e9gant si possible avant le geste de fa\u00e7on \u00e0 r\u00e9duire le risque de pr\u00e9l\u00e8vement h\u00e9morragique non contributif justifiant le renouvellement de la ponction. Avis du cardiologue si besoin pour autoriser l\u2019arr\u00eat du traitement. Ponction cependant r\u00e9alisable sous traitement anti-agr\u00e9gant en cas d\u2019impossibilit\u00e9 d\u2019arr\u00eat m\u00eame quelques jours (stent r\u00e9cent par&hellip;&nbsp;<a href=\"https:\/\/toulouse-thyroide.fr\/?page_id=331\" class=\"\" rel=\"bookmark\">Lire la suite &raquo;<span class=\"screen-reader-text\">Adaptation des traitements anti-agr\u00e9gants et anti-coagulants avant cytoponction thyro\u00efdienne ou ganglionnaire<\/span><\/a><\/p>\n","protected":false},"author":4,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/toulouse-thyroide.fr\/index.php?rest_route=\/wp\/v2\/pages\/331"}],"collection":[{"href":"https:\/\/toulouse-thyroide.fr\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/toulouse-thyroide.fr\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/toulouse-thyroide.fr\/index.php?rest_route=\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/toulouse-thyroide.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=331"}],"version-history":[{"count":7,"href":"https:\/\/toulouse-thyroide.fr\/index.php?rest_route=\/wp\/v2\/pages\/331\/revisions"}],"predecessor-version":[{"id":793,"href":"https:\/\/toulouse-thyroide.fr\/index.php?rest_route=\/wp\/v2\/pages\/331\/revisions\/793"}],"wp:attachment":[{"href":"https:\/\/toulouse-thyroide.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=331"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}