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Venous Thromboembolism — Anticoagulation
First-line
Second-line
SECOND-LINE
Acute VTE
(DVT / PE)
Most patients
Cancer-associated
Special situations
Preferred
DOAC — apixaban
AMPLIFY ↗
Preferred
DOAC — rivaroxaban
EINSTEIN ↗
Onc VTE
DOAC or LMWH
Hokusai-Cancer ↗
APS / severe renal
Warfarin (VKA)
avoid DOAC in triple-+ APS
Duration
3 mo (provoked) vs extended
if unprovoked / ongoing risk