What type of DVT/PE prophylaxis do you employ for an outpatient cervical brachytherapy?
Answer from: Radiation Oncologist at Community Practice
We don’t use anything for outpatient HDR ICBT for cervical cancer.
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Answer from: Radiation Oncologist at Academic Institution
I currently use SCDs but only during the implant portion. My implants are done as an outpatient procedure with anesthesia and lasting ~ 5hrs total from start to completion of delivery.I have had 1 incident of a seizure vs TIA after a successful procedure. CT and MRI negative of that patient's head. ...
Answer from: Radiation Oncologist at Academic Institution
Outpatient brachy SCDs only.
If going to be admitted, then SCDs plus 5000 Heparin.
If on direct oral anticoagulation, then hold the DOAC and bridge with Lovenox (give Lovenox and SCDs during procedure).
We also obtain presurgical blood work within 2 days prior to procedure.
Local context matters...