How do you manage a patient with superficial venous thrombosis with close proximity (<3 cm) to deep veins and an inherited thrombophilia ?

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

Would you offer indefinite anticoagulation if the event is unprovoked and the patient has low bleeding risk?

Answer from: at Academic Institution

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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at Mayo Clinic
I agree with Dr. @Joseph Caprini's sage advice and...

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