What is your approach to the management of unprovoked distal DVTs?
Given the unprovoked nature, do you favor indefinite anticoagulation? Would a presentation with bilateral distal DVTs or other concerns for thrombophilia push you to favor indefinite therapy?
2 Answers
Mednet MemberInvited Expert
Hematology · Medical University of South Carolina
Answered on
The management of distal deep vein thrombosis (DVT)—[involving the peroneal, posterior tibial, anterior tibial, or the muscular calf veins (gastrocnemius and soleus); proximal DVT, by contrast, refers to thrombosis in the popliteal, femoral, or iliac veins]—is evolving in step with broader changes i...
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Mednet MemberInvited Expert
Medical Oncology · LSU Health Sciences Center New Orleans
Answered on
It is important for a personalized approach in determination duration of anticoagulation use in unprovoked distal DVT. I agree with the approach of using individualized, risk-based decisions. I also have a dedicated classical Hematology group in our center for consultation.
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