How are patients on anticoagulation managed in the context of intracranial SRS?
Is heparin or warfarin routinely held prior to treatment?
Answer from: Radiation Oncologist at Academic Institution
At our institution, we do not withhold heparin or warfarin prior to treatment. This risk of intracranial bleed is not felt to be increased as a consequence of treatment.
We do use a traditional headframe (using pins to hold to the skull). While there may be an increased risk of bleeding...