Deep Venous Thrombosis and Thromboembolism in Patients With Cervical Spinal Cord Injuries
Publication Date: November 30, 2013
Last Updated: March 14, 2022
RECOMMENDATIONS
Prophylaxis
Prophylactic treatment of venous thromboembolism (VTE) in patients with severe motor deficits due to spinal cord injury is recommended. (Level I)
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The use of low molecular weight heparins, rotating beds, or a combination of modalities is recommended as a prophylactic treatment strategy. (Level I)
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Low dose heparin in combination with pneumatic compression stockings or electrical stimulation is recommended as a prophylactic treatment strategy. (Level I)
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Low dose heparin therapy alone is not recommended as a prophylactic treatment strategy. (Level II)
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Oral anticoagulation alone is not recommended as a prophylactic treatment strategy. (Level II)
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Early administration of VTE prophylaxis (within 72 hours) is recommended. (Level II)
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A 3-month duration of prophylactic treatment for deep vein thrombosis (DVT) and pulmonary embolism (PE) is recommended. (Level II)
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Vena cava filters are not recommended as a routine prophylactic measure, but are recommended for select patients who fail anticoagulation or who are not candidates for anticoagulation and/or mechanical devices. (Level III)
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Title
Deep Venous Thrombosis and Thromboembolism in Patients With Cervical Spinal Cord Injuries
Authoring Organization
Congress of Neurological Surgeons