Management of venous thromboembolism in patients with primary and metastatic brain tumors

David E. Gerber, Stuart A. Grossman, Michael B. Streiff

Research output: Contribution to journalReview article

110 Scopus citations

Abstract

Venous thromboembolism occurs commonly throughout the clinical course of patients with brain tumors. A number of hemostatic and clinical factors contribute to this hypercoagulable state. Concern over the possibility of intracranial bleeding has limited the use of anticoagulation in this population. However, mechanical approaches such as vena cava filters have high complication and treatment failure rates in patients with intracranial malignancies. In addition, the available data suggest that anticoagulation can be used safely and effectively in most of these patients. Patients with thrombocytopenia, recent neurosurgery, and tumor types prone to bleeding require special consideration. When intracranial hemorrhage does occur, it is often due to overanticoagulation, requiring prompt anticoagulation reversal and neurosurgical consultation.

Original languageEnglish (US)
Pages (from-to)1310-1318
Number of pages9
JournalJournal of Clinical Oncology
Volume24
Issue number8
DOIs
StatePublished - Mar 10 2006

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ASJC Scopus subject areas

  • Oncology
  • Cancer Research

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