How is deep vein thrombosis (DVT) treated in traumatic brain injury (TBI)?

Updated: Mar 02, 2020
  • Author: Percival H Pangilinan, Jr, MD; Chief Editor: Stephen Kishner, MD, MHA  more...
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Treatment for DVT and/or PE in patients with TBI is similar to treatment for these conditions in the general population. Treatment generally consists of the administration of an immediate-acting anticoagulant (UH or LMWH), followed by chronic anticoagulation with warfarin (target international normalized ratio [INR], 2-3). Heparin or LMWH should be continued until the desired INR is achieved and stable. The duration of anticoagulation is specific to the indication and the patient. [35] Use of anticoagulation in the patient with TBI could increase the risk for intracerebral hemorrhage. Each patient should be evaluated for his/her risk of intracerebral hemorrhage and of falling.

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