Safety of invasive procedures in end‐stage liver disease patients
James D. Perkins – 28 May 2009 – Patients with end‐stage liver disease (ESLD) are predisposed to bleeding complications due to thrombocytopenia, reduced synthesis of coagulation factors, and increased fibrinolytic activity. The exact incidence of vascular access site and bleeding complications related to cardiac catheterization in this group remains unknown. Eighty‐eight consecutive patients with ESLD who underwent left‐sided cardiac catheterization from August 2004 to February 2007 were identified.