Trombosis guías

New Guidelines Issued on Venous Thromboembolism

By Amy Orciari Herman

Edited by David G. Fairchild, MD, MPH, and Lorenzo Di Francesco, MD, FACP, FHM

The American Society of Hematology has issued guidelines on preventing, diagnosing, and managing venous thromboembolism (VTE).

Here are some of the highlights from the 200-plus recommendations:

• For hospitalized patients with high VTE risk and an acceptable bleeding risk, anticoagulants are preferred over mechanical prophylaxis. For those at high bleeding risk, mechanical prophylaxis is preferred.
• Most patients who need to stop warfarin to undergo an invasive procedure do not need bridge therapy.
• Many patients who experience major bleeding during anticoagulant therapy should resume anticoagulation after recovery.
• For superficial thrombosis during pregnancy, low-molecular-weight heparin is likely the best option in most cases.

American Society of Hematology guidelines (Free)

Background: NEJM Journal Watch General Medicine coverage of direct oral anticoagulant use to treat VTE in patients with cancer (Your NEJM Journal Watch subscription required)

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Benjamin Hidalgo-Matlock
Skin Care Physicians of Costa Rica

Clinica Victoria en San Pedro: 2224-0654
Momentum Escazu: 2101-9574

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