DVT Prevention in Stroke

Christopher Goshgarian*, Philip B. Gorelick

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

11 Scopus citations

Abstract

Purpose of Review: The purpose of this review is to discuss the prevention of venous thromboembolism (VTE) in stroke patients. We discuss use of oral anticoagulation and other interventions for the prevention of VTE. A new class of medications, non-vitamin K antagonist oral anticoagulants (NOACs), have been successfully trialed for the prevention of VTE. We review the data and guidance statements for VTE prevention. Recent Findings: Warfarin and vitamin K antagonist drugs have been the mainstay of VTE prevention for decades. More recently, NOACs have become available for both stroke and systemic embolism prevention in nonvalvular atrial fibrillation and for VTE treatment or prevention. NOACs have been shown to be at least noninferior for VTE prevention and treatment when compared with warfarin, and have a good safety profile. Other approaches include use of graduated compression stockings, intermittent compression stockings, inferior vena cava filters, and heparins. Summary: Selection of the appropriate VTE prophylaxis in stroke patients is important to reduce associated morbidity and mortality.

Original languageEnglish (US)
Article number81
JournalCurrent neurology and neuroscience reports
Volume17
Issue number10
DOIs
StatePublished - Oct 1 2017

Keywords

  • Deep vein thrombosis
  • Prevention
  • Stroke
  • Venous thromboembolism

ASJC Scopus subject areas

  • General Neuroscience
  • Clinical Neurology

Fingerprint

Dive into the research topics of 'DVT Prevention in Stroke'. Together they form a unique fingerprint.

Cite this