Continuous Anticoagulation and Cold Snare Polypectomy Versus Heparin Bridging and Hot Snare Polypectomy in Patients on Anticoagulants With Subcentimeter Polyps: A Randomized Controlled Trial -

Continuous Anticoagulation and Cold Snare Polypectomy Versus Heparin Bridging and Hot Snare Polypectomy in Patients on Anticoagulants With Subcentimeter Polyps: A Randomized Controlled Trial
Information type: Randomised controlled trials
Source: Annals of Internal Medicine
Specialities: Gastrointestinal disorders | Haematological disorders | Surgery
Summary
This RCT (n=184) suggests small colorectal polyps may be resected safely with cold-snare polypectomy while oral anticoagulation continues, compared to heparin bridging with hot-snare polypectomy, and was associated with a lower incidence of major bleeding.
UKMi comment

A related editorial discusses the limitations of the study, highlighting that polypectomy risk may also be influenced by tool selection, removal technique (by fluid injected submucosally beneath the polyp, electrical current, or both), technical proficiency, and periprocedural antithrombotic management decisions.
Related links: Editorial