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Deep Vein Thrombosis in Acute Stroke - A Systemic Review of the Literature

Muhammad T Khan1, Asad Ikram2, Omar Saeed3

  • 1Neurology, Charleston Area Medical Center.

Cureus
|March 6, 2018
PubMed

Insights

Deep venous thrombosis (DVT) in acute stroke patients requires careful management. This review summarizes current treatment strategies, recommending low-dose anticoagulants for ischemic stroke and specific protocols for hemorrhagic stroke.

Area of Science:

  • Neurology
  • Vascular Medicine
  • Critical Care Medicine

Background:

  • Deep venous thrombosis (DVT) is a significant complication in patients experiencing acute stroke.
  • Effective management of DVT is crucial to prevent further morbidity and mortality in this vulnerable population.

Purpose of the Study:

  • To conduct a systematic review of the literature regarding complications of DVT in acute stroke patients.
  • To summarize and compare current management plans for DVT in acute stroke patients across different medical centers.

Main Methods:

  • Systematic literature review of available studies on DVT complications in acute stroke.
  • Analysis of pharmacological and physical treatment options currently in use.
  • Synthesis of management strategies from various healthcare centers.

Main Results:

  • Low-dose anticoagulant therapy is recommended for patients with ischemic stroke.
  • For intracerebral hemorrhage, initial management involves pneumatic sequential compression devices, followed by ultra-fractionated heparin, and then oral anticoagulants.
  • Similar prophylactic treatments are advised for subarachnoid hemorrhage.

Conclusions:

  • DVT management in acute stroke patients varies but follows established guidelines.
  • Tailored prophylactic and therapeutic strategies are essential based on stroke type (ischemic vs. hemorrhagic).
  • Further research may refine optimal DVT management protocols in acute stroke.

Keywords:
acute strokeacute stroke therapydeep vein thrombosisdvtmanagement guidelinespneumatic compression devicestreatment

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