3 months |
– Proximal lower extremity DVT or pulmonary embolism caused by surgery or other transient risk factor – Upper extremity DVT associated with a central venous catheter that has already been removed in patients with or without cancer – Upper extremity DVT unrelated to a central venous catheter or to cancer – First episode of VTE in the form of idiopathic proximal lower extremity DVT or idiopathic pulmonary embolism in patients at high risk of bleedinga – First episode of isolated distal lower-extremity DVT – Second episode of idiopathic VTE in patients at high risk of bleedinga |
>3 monthsb |
– Upper extremity DVT associated with a central venous catheter that has not yet been removed (anticoagulant treatment should be administered as long as the catheter remains in the central vein or for 3 months if the catheter is removed) – Lower extremity DVT and active cancer (metastatic or treated within the prior 6 months) – First episode of VTE in the form of idiopathic proximal lower extremity DVT in patients at low or moderate risk of bleedinga – Second episode of idiopathic VTE in patients at low or moderate risk of bleedinga |
a Risk factors for bleeding: see table 3.20-5. b The need for continued treatment should be assessed periodically (eg, once a year). |
DVT, deep vein thrombosis; VTE, venous thromboembolism. |