Under what circumstances would you consider anticoagulation in a young female patient with persistently elevated factor XI activity?
1 Answers
Mednet Member
Hematology · Mount Sinai
- First, get a baseline D-dimer to see how procoagulant she is at that point.
- If elevated, long travel on plane, pre-op and post-op for 2 months - consider short-term anticoagulation.
- If past thrombosis - give lifelong anticoagulation.
- If pregnant - follow D-dimer; if it goes up, anticoagulate.