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. 2020 Dec 18;4(24):6291–6297. doi: 10.1182/bloodadvances.2020003238

Table 3.

Clinical presentation, course, and management of anticoagulation-associated ICH

Case Cancer type AC type* ICH class ICH presentation ICH course PCC Surgical management ICU AC management§ Death||
1 Lung Apixaban Measurable 1 1 No No No Continue No
2 Lung Apixaban Major 3 3 Yes No Yes Stop No
3 RCC Apixaban Measurable 1 1 No No No Continue No
4 RCC Rivaroxaban Major 3 3 Yes No Yes Stop No
5 Lung Nadroparin Major 3 1 No No No Stop Yes (+62)
6 Lung Enoxaparin Trace 1 1 No No No Continue No
7 Lung Enoxaparin Major 3 2 No Yes No Hold (9 d) No
8 Lung Enoxaparin Major 3 Yes (+14)
9 Thymic NEC Enoxaparin Major 3 1 No No No Hold (2 d) Yes (+21)
10 Lung Enoxaparin Major 3 Yes (+32)

AC, anticoagulation; ICU, intensive care unit; NEC, neuroendocrine carcinoma; PCC, prothrombin complex concentrate; RCC, renal cell carcinoma.

*

The anticoagulation dose at the time of ICH was therapeutic in 9 out of 10 cases (prophylactic in case 8), and no patients were receiving antiplatelet therapy.

Major indicates ICH ≥10 mL in volume, required surgical intervention, or was associated with symptoms; Measurable indicates ICH volume ≥1 mL but <10 mL; trace indicates ICH volume <1 mL or unmeasurable.

Based on prespecified criteria as shown in supplemental Table 1, as reported by Bleker et al.18

§

Anticoagulation management at ICH. The number in parentheses indicates the number of days until anticoagulation was resumed after temporarily holding.

||

Death by 90 days post-ICH. The number in parentheses indicates the number of days between ICH and death.

Incomplete follow-up data post-ICH.