Thrombosis prophylaxis
Synonym(s)
Thromboembolism prophylaxis
IndicationThis section has been translated automatically.
Venous thromboembolism (VTE) is the third most common cardiovascular disease. Prophylaxis according to guidelines can significantly reduce morbidity and mortality of VTE.
The risk of VTE should be considered in all patients with surgery, injury and acute disease (see also thrombosis). The indication should be determined individually and risk-adapted. A reliable test for estimating the risk of VTE does not exist. Estimation is based on the summation of exponential and dispositional risk factors. Three risk groups result for the VTE risk:
- low
- medium
- high
ImplementationThis section has been translated automatically.
VTE prophylaxis measures include:
- Basic measures
- Physical measures
- Drugs
Basic measures:
- Early mobilisation daparinux
- Movement Exercises
- Instructions for self-exercises
Physical measures:
- Thrombosis prophylaxis stockings
- Intermittent compression therapy using apparatus
Medicinal measures
- Unfractionated heparin
- Low molecular weight heparin
- Fondaparinux
- Direct oral anticoagulants (e.g. rivaroxaban, apixaban)
LiteratureThis section has been translated automatically.
- Encke A et al. (2016) Prophylaxis of venous thromboembolism. Dtsch Ärztebl 113: 532-538.
- Haas S et al. (2016) [German S3 practice guidelines on prevention of venous thromboembolism--New and established evidence]. Dtsch Med Wochenschr 141:453-456.