“…In family studies, the annual incidence of recurrent VTE is estimated to be around 10% without long term anticoagulation therapy 2,8,9 with the incidence accumulating up to 50% during ten years of follow-up 10 With long term anticoagulation therapy the recurrence risk in AT deficient patients is effectively decreased to 1.5 to 4.0% per year. 2,8,11,12 Based on this , we treat AT deficiency patients with long term anticoagulation therapy after a first VTE event, in the absence of an increased bleeding risk. Data stratified by the presence of a provoking factor is thus far not available for the population of AT deficiency patients, specifically because of the small numbers included in studies concerning these patients.…”