Table 4

Suggested strategies for the long-term treatment

PatientStrategy
All patients with SVT At least 3 mo of anticoagulant treatment 
Patients with SVT secondary to surgery Treatment discontinuation after 3-6 mo 
Patients with PVT, MVT secondary to nonsurgical transient risk factors (eg, hormonal therapy, abdominal infections) Treatment discontinuation after 6-12 mo 
Patients with PVT, MVT secondary to permanent risk factors (eg, cirrhosis, chronic inflammatory disorders, cancer, MPNs, autoimmune disorders, major thrombophilia*Indefinite anticoagulant treatment with periodic reassessment of bleeding profile 
Patients with unprovoked SVT Indefinite anticoagulant treatment with periodic reassessment of bleeding profile 
Patients with BCS Indefinite anticoagulant treatment with periodic reassessment of bleeding profile 
PatientStrategy
All patients with SVT At least 3 mo of anticoagulant treatment 
Patients with SVT secondary to surgery Treatment discontinuation after 3-6 mo 
Patients with PVT, MVT secondary to nonsurgical transient risk factors (eg, hormonal therapy, abdominal infections) Treatment discontinuation after 6-12 mo 
Patients with PVT, MVT secondary to permanent risk factors (eg, cirrhosis, chronic inflammatory disorders, cancer, MPNs, autoimmune disorders, major thrombophilia*Indefinite anticoagulant treatment with periodic reassessment of bleeding profile 
Patients with unprovoked SVT Indefinite anticoagulant treatment with periodic reassessment of bleeding profile 
Patients with BCS Indefinite anticoagulant treatment with periodic reassessment of bleeding profile 
*

Antiphospholipid antibodies, double heterozygosity for Factor V Leiden mutation and G20210A mutation in prothrombin gene or single homozygosity.

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