Thrombosis Flashcards
PE use sPESI to determine low, intermediate, high
Low risk use use Hestia criteria home
Intermediate risk use BOVA >4, ICU
LMWH to DOAC
High risk use UFH
Semin Thrombosis Hemostasis 2017;43:486-492
Subsegmental PE
Steven’s CHEST 2021
Rx depends on whether there’s high risk of recurrence.
VTE and thrombocytopenia
> 50 k , full AC
25-50 k transfuse platelets to 40-50 target (unless low risk distal DVT)
<25 K hold AC
Thrombocytopenia and pylon embolism
Stevens SM ET AL CHEST 2021
In setting of malignancy
Give AC If platelets are >50k
25-50 LMWH 1/2 LMWH if thrombosis distal dvt, subsegmental pulmonary embolism . Transfuse to >40k platelets
<25, give AC
AC in thrombocytopenia and DVT
Platelet > 50k, give full dose
25-50 k, 1/2 dose AC if distal dvt or subsegmental pe (full dose if proximal dvt. Transfuse platelets to >40k
<25 hold AC
Valeriani E Thrombi Haemost 2021 July:121(7):867-876
Supports AC in cirrhotic patients w/ SVT
AVOIDS PROGRESSION, recurrent, bleeding
Decreases mortality
Abelacimab, osocimab, milvexian
Factor XI inhibition
Thrombosis in hepatic, portal, cerebral venous sinus thrombosis, mesenteric
PNH