How do you manage a patient with superficial venous thrombosis with close proximity (<3 cm) to deep veins and an inherited thrombophilia ?
Would you offer indefinite anticoagulation if the event is unprovoked and the patient has low bleeding risk?
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Would you offer indefinite anticoagulation for an unprovoked superficial vein thrombosis in the setting of inherited thrombophilia?
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1 Answer
Mednet MemberInvited Expert
Hematology · University of Chicago
Answered on
I would treat the patient for 3 months with a DOAC and then repeat the scan. If the clot is resolved, I would order a d-dimer and Factor VIII level on anticoagulation. If the tests are negative, I would stop the DOAC and retest at 30, 90, and 180 days. If tests remain negative then stay off anticoag...
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