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How, if at all, should a positive thrombophilia result influence the duration of anticoagulation following a first VTE provoked by a transient risk factor?

Does your approach differ for heterozygous factor V Leiden or prothrombin G20210A versus high-risk inherited thrombophilia, especially in light of recently published data from Vrotniakaite-Bajerciene et al., PMID 42448302?
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Following a first transiently provoked VTE, which thrombophilia findings, if already known, would generally favor extended anticoagulation?

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1 Answer
Mednet MemberInvited Expert
Hematology · Medical University of South Carolina
Answered on

The answer depends on how we characterize a “transient” risk factor. The “provoked” vs “unprovoked” approach to the duration of anticoagulation rests on the assumption that, in patients with VTE, anticoagulation should continue until the risk of recurrence declines to the baseline level seen in the ...

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