Venous thromboembolism prevention during the acute phase of intracerebral hemorrhage

Abstract

Background: Although knowledge of intracerebral hemorrhage (ICH) continues to evolve, it is still a major cause of morbidity and mortality worldwide. Venous thromboembolism (VTE) events, including deep vein thrombosis (DVT) and pulmonary embolism (PE), are common and preventable complications of ICH. On the basis of the current systematic review and guidelines, the optimal prophylactic treatment remains unclear.

Summary: In this review, we used the existing literature to provide an overview of the prevalence, treatment, guidelines, and worldwide trend and future issues regarding VTE events after ICH.

Key messages: Briefly, VTE events are common, with severe complications following ICH. Clinicians should be familiar with the current guidelines and trials to identify the optimal treatment for every patient's unique condition.

Keywords: Graduated compression stockings; Heparin; Intermittent pneumatic compression; Intracerebral hemorrhage; Prevention; Venous thromboembolism.