Anticoagulation Clearance — SIR 2019 Bedside Workflow for IR

What it does

A mobile-first clinical decision support tool that converts the SIR 2019 anticoagulation consensus guidelines into an interactive workflow for hold planning, day-of clearance, and restart timing.

The problem it solves

IR teams answer the same anticoag questions all day. The guideline is comprehensive but slow to use in real time. The result is lookup friction, inconsistent application, and overly conservative holds.

Core workflow

• Pre-plan: procedure + meds → hold schedule
• Clear: labs → traffic-light clearance + missing-data detection
• Restart: timing guidance adjusted to complications and consequence

Key features

• 200+ procedures mapped to SIR risk tiers
• 30+ antithrombotic agents with hold/restart logic
• CLD-specific thresholds and prompts for platelets/fibrinogen
• Spectrum-style context for lab values (within range vs “conservative edge”)
• Interaction/supplement screening
• Runs in-browser (PWA), offline-friendly after first load
• No login; do not enter patient identifiers

Who it’s for

• Interventional radiologists
• IR APPs, fellows, residents
• Referring teams coordinating holds

Technical notes

Single-page browser app. No backend calls required for core workflow.

Privacy / data handling

Do not submit PHI or patient identifiers. This tool is informational and not medical advice.

Reviewed by Pouyan Golshani, MD, Interventional Radiologist — February 22, 2026