How safe is arthrocentesis in patients on warfarin

How safe is arthrocentesis in patients on warfarin (Coumadin)?

Although hemarthrosis has been reported following joint aspiration in anticoagulated patients, it appears to be uncommon. A previous study found no hemorrhagic complications in patients on Coumadin with an international normalized ratio of <4.5. Using the smallest needle necessary for the procedure and applying prolonged pressure following the arthrocentesis is recommended.

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