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    2 Deep Vein Thrombosis

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    Gede Suputra
    This document provides guidelines for evaluating and treating patients with suspected deep vein thrombosis (DVT). It outlines performing venous duplex scans or venography to diagnose DVT. For positive scans, it recommends evaluating for coagulation disorders and malignancy. It provides treatment options like anticoagulants that vary based on risk factors, pregnancy status, and contraindications. The duration of anticoagulant therapy depends on the risk of recurrence. It also discusses rare severe complications of DVT and potential uses of catheter-directed thrombolysis.

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    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd

    2 Deep Vein Thrombosis

    Uploaded by

    Gede Suputra
    101 views10 pages
    This document provides guidelines for evaluating and treating patients with suspected deep vein thrombosis (DVT). It outlines performing venous duplex scans or venography to diagnose DVT. For positive scans, it recommends evaluating for coagulation disorders and malignancy. It provides treatment options like anticoagulants that vary based on risk factors, pregnancy status, and contraindications. The duration of anticoagulant therapy depends on the risk of recurrence. It also discusses rare severe complications of DVT and potential uses of catheter-directed thrombolysis.

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    2 Deep vein thrombosis.ppt

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    This document provides guidelines for evaluating and treating patients with suspected deep vein thrombosis (DVT). It outlines performing venous duplex scans or venography to diagnose DVT. For positive scans, it recommends evaluating for coagulation disorders and malignancy. It provides treatment options like anticoagulants that vary based on risk factors, pregnancy status, and contraindications. The duration of anticoagulant therapy depends on the risk of recurrence. It also discusses rare severe complications of DVT and potential uses of catheter-directed thrombolysis.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    101 views10 pages

    2 Deep Vein Thrombosis

    Uploaded by

    Gede Suputra
    This document provides guidelines for evaluating and treating patients with suspected deep vein thrombosis (DVT). It outlines performing venous duplex scans or venography to diagnose DVT. For positive scans, it recommends evaluating for coagulation disorders and malignancy. It provides treatment options like anticoagulants that vary based on risk factors, pregnancy status, and contraindications. The duration of anticoagulant therapy depends on the risk of recurrence. It also discusses rare severe complications of DVT and potential uses of catheter-directed thrombolysis.

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    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
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    Deep vein thrombosis

    Color duplex scan of DVT

    Venogram
    shows DVT

    Patient with suspect symptomatic


    Acute lower extremity DVT

    Venous duplex scan

    negative

    Low clinical probability


    High clinical probability

    positive

    observe
    negative

    Evaluate coagulogram /thrombophilia/ malignancy

    Repeat scan /
    Venography
    Anticoagulant therapy
    contraindication

    IVC filter

    yes

    No

    pregnancy
    OPD
    hospitalisation

    LMWH
    LMWH
    UFH

    warfarin

    Compression treatment

    Thrombophilia screening
    Factor V leiden, Prot C/S deficiency
    Antithrombin III deficiency

    Idiopathic DVT < 50 years


    Family history of DVT
    Thrombosis in an unusual site
    Recurrent DVT

    Recommendation for
    duration of warfarin
    3-6 months first DVT with reversible risk
    factors
    At least 6 months for first idiopathic DVT
    12 months to lifelong for recurrent DVT or
    first DVT with irreversible risk factors
    malignancy or thrombophilic state

    Diagram 6

    Phlegmasia cerulea dolens


    Venous gangrene

    Catheter directed-thrombolysis
    Consider in: Acute< 10 days iliofemoral
    DVT.
    Long-term benefit in preventing
    post-phebitic syndrome is unknown.

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