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Expert Rev Gastroenterol Hepatol. 2012 Apr;6(2):211-21. doi: 10.1586/egh.11.104.

Acute gastrointestinal bleeding after percutaneous coronary intervention.

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Department of Gastroenterology and Hepatology, Royal Perth Hospital, Perth, WA 6001, Australia.


Bleeding from the GI tract is a commonly encountered clinical problem after percutaneous coronary intervention. The GI tract is likely to become the most commonly encountered site of bleeding as cardiologists adopt smaller access sheath sizes, percutaneous closure devices and a radial artery approach, further reducing access-site bleeding. To appropriately manage gastrointestinal bleeding in this setting, the clinician must strike a balance between arresting hemorrhage and preventing ischemic coronary complications. To do so, an appreciation of both cardiovascular and gastrointestinal issues is required. This review aims to provide the required knowledge, as well as a series of recommendations from our practice, to assist in the management of this potentially fatal complication.

[Indexed for MEDLINE]

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