Figure 3.
Management of acute VTE in patients with brain cancer, with recent ICH.1Excluding hemosiderin residues (usually intratumoral) as the sole finding. 2Isolated distal DVT refers to calf vein DVT without known PE (and without clinical suspicion of PE). 3Isolated subsegmental PE refers to isolated subsegmental PE without DVT on bilateral lower extremity ultrasound doppler (which is mandatory). 4Discuss risk-benefit ratio of anticoagulation and alternatives with patient and/or health care proxy and document before treatment initiation. 5Lower extremity ultrasound doppler after 1 week (and possibly again at 2 weeks) to exclude new DVT or proximal DVT progression. 6Periodically reassess risk-benefit of initiating anticoagulation.
