MANAGEMENT OF THROMBOPROPHYLAXIS IN PATIENTS WITH SPONTANTEOUS INTRACEREBRAL HEMORRHAGE

Abstract

Patients with intracerebral hemorrhage (ICH) are at increased risk for venous thromboembolism. After spontaneous intracranial hemorrhage, lower limb deep vein thrombosis and subsequent pulmonary embolism increase the morbidity and mortality and their prevention is of substantial importance. Pneumatic intermittent lower limb compression and early introduction of unfractioned or low molecular weight heparin, after cessation of bleeding, are well studied and efficient preventive treatment options. Low dose anticoagulation is safe and is not linked to hematoma expansion, even when initiated immediately after the first 24 hours following symptom onset. In this narrative review, we will outline the currently available data regarding the management of thromboprophylaxis following spontaneous ICH.