TY - CHAP M1 - Book, Section TI - Thromboembolic Disease A1 - Benjamin, Lee S. A2 - Tenenbein, Milton A2 - Macias, Charles G. A2 - Sharieff, Ghazala Q. A2 - Yamamoto, Loren G. A2 - Schafermeyer, Robert PY - 2019 T2 - Strange and Schafermeyer's Pediatric Emergency Medicine, 5e AB - The greatest risk factor for thromboembolic disease in children is an indwelling central venous catheter.Disease patterns for pulmonary embolism in children and adolescents are similar to those in adults, yet diagnosis and management is often delayed or inappropriate.Arterial thromboembolism is more common in neonates and children with cardiac disorders, likely due to the use of umbilical artery catheters, cardiac catheters, extracorporeal membrane oxygenation (ECMO) circuits, and valvular disease.Anticoagulation is most commonly achieved acutely with unfractionated heparin or low-molecular-weight heparin (LMWH), followed by long-term anticoagulation with either LMWH or warfarin as experience with direct oral anticoagulants grows. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/19 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1155297399 ER -