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. 2023 Jan 1;98(2):338–347. doi: 10.1002/ajh.26788

TABLE 1.

Suggested duration of temporary BTK inhibitor hold for surgical procedures

Procedure No. of days to hold pre‐procedure Day of procedure No. of days to hold post‐procedure
Bronchoscopy 2 days Hold 2 days
Colonoscopy 2 days Hold 2 days
Fine needle aspiration 1 day Hold 1 day
Core needle biopsy 1 day Hold 1 day
Paraspinal injections (e.g., for nerve injections) 1 day Hold 1 day
Lumbar puncture 3 days Hold 1 day
Tooth extraction No hold No hold No hold
Multiple dental extractions, more invasive dental work (e.g., implants, root canal) 2 days Hold 2 days
Joint replacement 3 days Hold 3 days
Joint injection 1 day Hold 1 day
Skin punch biopsy No hold No hold No hold
Mohs procedure 2 days Hold 2 days
Carpal tunnel release 3 days Hold 3 days
Renal biopsy 3 days Hold 3 days
Laminectomy 3 days Hold 3 days
Neurosurgery 7 days Hold 7 days
Cardiac ablation, pacemaker placement, or other arterial access required 1 day Hold 1 day