Table of Contents
Deep Vein Thrombosis
Therapy
Other Options
Deep Vein Thrombosis
Therapy
Initial anticoagulation: immediately for up to 10 days
Long-term anticoagulation: minimum of 3 months, sometimes 6-12 months; occasional indefinitely
Options
Heparin
LWMH
SubQ
DoAC
Apixaban
Recurrence: 3 per 100 person-years
Major bleed: 3 per 100 person-years
peak-to-trough: 3
Rivaroxaban
Recurrence: 7 per 100 person-years
Major bleed: 7 per 100 person-years
peak-to-trough: 10
Other Options
Thrombolysis: not routinely performed
Indications (thrombolysis/thrombectomy)
phlegmasia cerulea dolens
massive iliofemoral DVT
failure of therapeutic anticoagulation
candidates:
symptoms < 14 days
good functional status
low bleeding risk