Do you repeat images in patients with venous thrombosis to inform decision about duration of anticoagulation?

Topics: Pediatric Oncology • Thrombosis • Hematology • Pediatric Hematology • Benign Hematology • Hemostasis/Thrombosis

E.g. pulmonary embolism, portal vein thrombosis, cerebral venous sinus thrombosis

Answer from: at Community Practice

The short answer is "no". I do reimage many people near the end of the 3-6 months of treatment, but it doesn't really change my mind about duration of treatment in most instances. I use repeat imaging to help me understand how much of the clot resolved and thus, determine what their new baseline is....

Comments

Medical Oncologist at Florida Cancer Specialists and Research Institute
I agree, and I just would add that the incidence o...

Medical Oncologist at Stamford Health
See the DACUS trial including the Cancer-DACUS tri...

Answer from: Medical Oncologist at Community Practice

Great reminder about the difference between PROGNOSTIC vs. PREDICTIVE factors. Just because the risk for the event can be high does not mean we should administer treatment (which, as in this case, causes more adverse events without affecting outcomes of disease). Too often treatments are given based...

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