Would you extend the duration of anticoagulation in patients with a provoked DVT, but evidence of residual clot at 3 months?

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

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 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...

Comments

at Kaiser Permanente, Los Angeles Med Center
Thank you so much for your thoughtful response Dr....

Medical Oncologist at Geisinger Medical Center
@Joseph Caprini for a patient with provoked isolat...

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