Thromboembolism After Lung Transplantation - Prolonged Anticoagulation Prophylaxis Depending on Age and Body Weight?

Pulmonary Embolism Following Lung Transplantation: Prevention and Management

“…22 Since there is a known increased risk of VTE with lung transplantation and associated increased morbidity/mortality, some institutions have proposed long-term prophylaxis in higher-risk patients with Lovenox or novel oral anticoagulations such as apixaban. 23 24…”

“…22 Since there is a known increased risk of VTE with lung transplantation and associated increased morbidity/mortality, some institutions have proposed long-term prophylaxis in higher-risk patients with Lovenox or novel oral anticoagulations such as apixaban. 23,24 Despite the significant benefit from pharmacologic VTE prophylaxis in patients following lung transplantation, there are a few instances that complicate its utilization. First, renal impairment and acute kidney injury are not uncommon in the postoperative transplant patients and some of the anticoagulant medications, like Lovenox, are renally cleared.…”