Figure 2
Figure 2. Suggested treatment protocol for recurrent DVT. aApixaban 10 mg twice daily for 1 week followed by 5 mg twice daily, reduce dose to 2.5 mg twice daily after 6 months; rivaroxaban 15 mg twice daily for 3 weeks followed by 20 mg once daily; LMWH once or twice daily at therapeutic dose for at least 5 days followed by 150 mg dabigatran twice daily or by 60 mg edoxaban once daily; bLMWH once or twice daily at therapeutic dose together with a VKA (target INR, 2.0-3.0) and continue LMWH until a stable INR has been reached, but for a minimum of 5 days; cLMWH at therapeutic dose until 24 hours before induction of labor or caesarean section, and restart LMWH at a reduced dose; dLMWH at therapeutic dose, reduced to about 75% at 4 weeks for at least 6 months or as long as it is safe to do so; etransient risk factors include surgery, trauma, prolonged bed rest, oral contraceptives, hormone replacement therapy, pregnancy/puerperium; and fpersistent risk factors include inflammatory bowel disease, antiphospholipid syndrome, nephrotic syndrome, paroxysmal nocturnal hemoglobinuria, myeloproliferative neoplasma, Behçet syndrome, postthrombotic syndrome, and congenital venous malformation.

Suggested treatment protocol for recurrent DVT.aApixaban 10 mg twice daily for 1 week followed by 5 mg twice daily, reduce dose to 2.5 mg twice daily after 6 months; rivaroxaban 15 mg twice daily for 3 weeks followed by 20 mg once daily; LMWH once or twice daily at therapeutic dose for at least 5 days followed by 150 mg dabigatran twice daily or by 60 mg edoxaban once daily; bLMWH once or twice daily at therapeutic dose together with a VKA (target INR, 2.0-3.0) and continue LMWH until a stable INR has been reached, but for a minimum of 5 days; cLMWH at therapeutic dose until 24 hours before induction of labor or caesarean section, and restart LMWH at a reduced dose; dLMWH at therapeutic dose, reduced to about 75% at 4 weeks for at least 6 months or as long as it is safe to do so; etransient risk factors include surgery, trauma, prolonged bed rest, oral contraceptives, hormone replacement therapy, pregnancy/puerperium; and fpersistent risk factors include inflammatory bowel disease, antiphospholipid syndrome, nephrotic syndrome, paroxysmal nocturnal hemoglobinuria, myeloproliferative neoplasma, Behçet syndrome, postthrombotic syndrome, and congenital venous malformation.

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