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Pediatric Hematology/Oncology • Medical Oncology • Internal Medicine • Thrombosis • Hematology • Pediatric Hematology • Benign Hematology • Hemostasis/Thrombosis
Would you extend the duration of anticoagulation in patients with a provoked DVT, but evidence of residual clot at 3 months?
While follow up ultrasound is not usually recommended in provoked DVT, it often is done either for other reasons or by other physicians. Would this information change the duration of anticoagulation?
Answer from: at Community Practice
This is a really interesting discussion. I do tend to get Dopplers at the end of the anticoagulation treatment period, but only to assess the new baseline and to help decision-making in the future if they develop new symptoms and have another Doppler. I find this to be very helpful to understand if ...
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Answer from: at Academic Institution
Residual changes on the follow-up duplex scan may be associated with an increased risk of recurrence. This is particularly true if the patient has other co-morbidities that can be graded with the Caprini score. If the residual changes are minimal, I would advise a D-dimer and Factor VIII assay on an...
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at Kaiser Permanente, Los Angeles Med Center
Thank you so much for your thoughtful response Dr....
Thank you so much for your thoughtful response Dr....
Medical Oncologist at Geisinger Medical Center
@Joseph Caprini for a patient with provoked isolat...
@Joseph Caprini for a patient with provoked isolat...
Answer from: at Community Practice
If the patient is younger, has no ongoing risk factors for thrombosis, and has tolerated the therapy well, I would continue treatment for another 3 months. If risk factors are present, I would continue indefinitely.