In ischemic stroke
Early mobilization, walking at least 50 feet daily, should always be
considered.
Subcutaneous low-dose unfractionated heparin (LDUH) (5000 units BID) is
an option.
Low-molecular-weight heparin and heparinoid products may be better
than LDUH, according to limited randomized trials. These drugs are
alternatives to LDUH.
Intermittent pneumatic compression devices and compression stockings
should be used in conjunction with above interventions.35
Alternative anticoagulation such as argatroban or lepirudin should be
used in acute heparin-induced thrombocytopenia.36
In hemorrhagic stroke
No studies are available. Acutely, anticoagulation is avoided and
nonpharmacological measures are emphasized.
Mechanical filter devices can be considered when a deep venous
thrombosis is evident.