Table 1.

Contraindications to specific antithrombotic therapies in infants and children


Unfractionated heparin 
   Known allergy  
   History of HITs  
Low-molecular-weight heparin 
   Known allergy  
   History of HITs  
   Invasive procedure within the previous 24 h  
Systemic TPA 
   Known allergy  
   Active bleeding  
   Central nervous system ischemia/hemorrhage/surgery within the previous 10 d (includes birth asphyxia)  
   Surgery within the previous 7 d  
   Invasive procedure within the previous 3 d  
   Seizures within the previous 48 h  
Thrombolysis by interventional radiology 
   Known allergy  
   In cases where needed, inability to place a vena cava filter  
   Limitations are size of involved vessels and experience of interventionalists
 

Unfractionated heparin 
   Known allergy  
   History of HITs  
Low-molecular-weight heparin 
   Known allergy  
   History of HITs  
   Invasive procedure within the previous 24 h  
Systemic TPA 
   Known allergy  
   Active bleeding  
   Central nervous system ischemia/hemorrhage/surgery within the previous 10 d (includes birth asphyxia)  
   Surgery within the previous 7 d  
   Invasive procedure within the previous 3 d  
   Seizures within the previous 48 h  
Thrombolysis by interventional radiology 
   Known allergy  
   In cases where needed, inability to place a vena cava filter  
   Limitations are size of involved vessels and experience of interventionalists
 

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