Management of anticoagulation in patients with brain metastasis Review


Authors: Hamulyák, E. N.; Yust-Katz, S.; Leader, A.
Review Title: Management of anticoagulation in patients with brain metastasis
Abstract: Venous thromboembolism (VTE) is a prevalent and serious complication among cancer patients, necessitating therapeutic anticoagulation for many individuals with brain metastases. Simultaneously, patients with brain metastases, particularly those with high-risk primary tumors, have an increased risk of intracranial hemorrhage (ICH). Managing anticoagulation in these patients presents a dual challenge: preventing thromboembolism while avoiding hemorrhagic events. Here, we present our approach to anticoagulation for acute VTE in patients with brain metastases, based on the available evidence. We review potential risk factors for anticoagulation-associated ICH in this population and discuss strategies for managing acute VTE in patients with and without ICH. Copyright © 2024 by The American Society of Hematology.
Keywords: brain tumor; brain neoplasms; risk factors; risk factor; anticoagulants; drug therapy; brain hemorrhage; prevention and control; venous thromboembolism; anticoagulant agent; etiology; complication; intracranial hemorrhages; humans; human; female
Journal Title: Hematology-American Society of Hematology Education Program
Volume: 2024
Issue: 1
ISSN: 1520-4391
Publisher: American Society of Hematology  
Date Published: 2024-12-06
Start Page: 246
End Page: 252
Language: English
DOI: 10.1182/hematology.2024000660
PUBMED: 39644055
PROVIDER: scopus
PMCID: PMC11665513
DOI/URL:
Notes: Review -- MSK corresponding author is Avi Leader -- Source: Scopus
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  1. Avi Philip Sendzul Leader
    14 Leader