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Addendum to guidelines on the investigation and management of venous thrombosis at unusual sites (Br. J. Haematol. 2012;159:28–38): Use of Direct Oral Anticoagulants

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Currently Direct Oral Anticoagulants (DOACs) are licensed for treatment of deepvein thrombosis (DVT) and pulmonary embolism (PE) whereas warfarin is licensed for all venous thrombosis (VTE). Warfarin, with lowmolecularweight heparin… Click to show full abstract

Currently Direct Oral Anticoagulants (DOACs) are licensed for treatment of deepvein thrombosis (DVT) and pulmonary embolism (PE) whereas warfarin is licensed for all venous thrombosis (VTE). Warfarin, with lowmolecularweight heparin (LMWH) during the acute initial phase, is therefore the standard agent for longterm anticoagulation for patients with thrombosis at other sites. The large phase 3, randomised, controlled trials comparing the DOACs: dabigatran, rivaroxaban, apixaban and edoxaban with warfarin in DVT and PE patients, did not include those with thrombosis at unusual sites.

Keywords: thrombosis; venous thrombosis; unusual sites; direct oral; oral anticoagulants; thrombosis unusual

Journal Title: British Journal of Haematology
Year Published: 2022

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