A 55-year-old has completed three months of apixaban for a proximal DVT occurring ten days after total hip replacement. Recovery is complete, there is...

Question

A 55-year-old has completed three months of apixaban for a proximal DVT occurring ten days after total hip replacement. Recovery is complete, there is no cancer or persistent risk factor, and treatment was uncomplicated. What should be discussed now?

Accepted Answer

Stop anticoagulation after reviewing recurrence risk, bleeding risk and preferences

Answer

Reduce apixaban and continue it for a mandatory further nine months

Answer

Change to warfarin for a mandatory further three months

Answer

Stop apixaban and insert an inferior vena cava filter for secondary prevention

Answer

Continue full-dose apixaban lifelong because every proximal DVT is unprovoked

Venous Thromboembolism — MRCP Part 1 MCQ

A 55-year-old has completed three months of apixaban for a proximal DVT occurring ten days after total hip replacement. Recovery is complete, there is no cancer or persistent risk factor, and treatment was uncomplicated. What should be discussed now?