How soon after a VTE would you feel comfortable with a patient undergoing an elective surgery?
While there are many factors involving:
- type (DVT vs PE, unprovoked vs provoked) and severity of venous thromboembolism (VTE) size
- duration of anticoagulation
- bleeding vs thrombosis history and risk factors
- type of surgery and expected recovery timeline
- how soon could prophylactic or therapeutic anticoagulation be resumed safely if still indicated
- existing clot burden
- decision to place an IVC filter
In general, how soon after a VTE do you feel comfortable letting a patient undergo elective surgery?
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How soon after an unprovoked VTE would you feel comfortable with a patient undergoing an elective surgery?
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1 Answer
Mednet MemberInvited Expert
Hematology · Mayo Clinic
Answered on
Here is my approach:
Many factors play a role in decision making such as type of venous thromboembolic event, clot burden, provoked versus unprovoked nature of the event, patient's bleeding and clotting phenotype, associated risk factor such as cancer, etc, type of anticipated surgery, and risk for ...
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