Mednet Logo

Is anticoagulation a relative contraindication to atezolizumab/bevacizumab for advanced HCC?

For example in a patient with a history of PE?
Community PollStarted

Is anticoagulation a contraindication to atezolizumab/bevacizumab for advanced HCC?

83 physicians have voted

Join Mednetto vote and see how they answered.

3 Answers
Mednet Member
Mednet MemberInvited Expert
Medical Oncology · Keck School of Medicine of USC
Answered on

Anticoagulation is considered safe with bevacizumab unless the patient has an increased of bleeding; as such, any varices should have been adequately treated before treatment with atezolizumab/bevacizumab; I would also avoid anticoagulation and atezo/bev concurrently in patients with platelet count ...

Join for free or sign in to see the full answer

Mednet Member
Mednet MemberInvited Expert
Medical Oncology · University of Texas MD Anderson Cancer Center
Answered on

It is not, in clinical practice, which has accepted to evaluate risk-benefit ratio, in case of other anti-angiogenesis agents such as all other targeted therapy in HCC

Join for free or sign in to see the full answer

Mednet Member
Mednet Member
Medical Oncology · Vanderbilt University Medical Center
Answered on

I do feel that it is. Things to take into account are the reason for anticoagulation and duration. If a patient is on prophylactic anticoagulation for atrial fibrillation, it is probably ok to use bevacizumab cautiously. I consider arterial thrombosis or recent venous thromboses as relative contrain...

Join for free or sign in to see the full answer