Key result
Mechanical prophylaxis of venous thromboembolism is safe, avoids bleeding risk, and is particularly recommended for patients at high risk of bleeding or as an adjunct to pharmacological methods.
Why the study?
Although antithrombotic prophylaxis is safe and cost-effective, preventive measures are underutilized in clinical practice, with few patients receiving complete and appropriate prophylaxis.
Mechanical methods for VTE prevention are safe and recommended for patients at high bleeding risk, but remain underutilized in real-world practice.
Supports mechanical VTE prophylaxis in high-bleeding-risk patients; leaves open strategies to improve real-world adoption.
The paper discusses guidelines for the prevention of venous thromboembolism (VTE), with particular emphasis on the use of mechanical methods. Mechanical prophylaxis of VTE does not involve the risk of bleeding, which may be life‑threatening. Mechanical methods are particularly recommended in patients at high risk of bleeding while on pharmacological thromboprophylaxis. Although antithrombotic prophylaxis is safe and cost‑effective, there is evidence that the majority of preventive measures are applied too rarely in clinical practice, and that only a small proportion of patients receive complete and appropriate prophylaxis in the real‑world clinical setting.
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Tamowicz et al. (2019) conducted a review in Venous thromboembolism. Mechanical antithrombotic prophylaxis vs. Pharmacological prophylaxis or no prophylaxis was evaluated. Mechanical prophylaxis of venous thromboembolism is safe, avoids bleeding risk, and is particularly recommended for patients at high risk of bleeding or as an adjunct to pharmacological methods.
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