Conditions or risk factors that should be considered when selecting the therapeutic approach in symptomatic outpatients with diagnosed IDDVT
A) Conditions favoring full anticoagulation for 3 mo (as for proximal DVT) . |
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Previous VTE events |
Idiopathic event |
Secondary event but with persistently hampered complete mobilization |
Event occurring during pregnancy or puerperium |
Distal thrombosis involving the popliteal trifurcation |
Thrombosis involving >1 calf vein |
Distal thrombosis present in both legs |
Active cancer or chemotherapy |
Presence of predisposing diseases (eg, inflammatory bowel diseases) |
Known thrombophilic alterations |
B) Conditions favoring shorter anticoagulation |
First thrombotic event, if: |
secondary to surgery or to other removable risk factors (eg, plasters, immobilization, trauma, long trip) |
event occurring during contraceptive or replacement hormonal therapy (provided the therapy has been interrupted) |
with subsequent full mobilization |
no difference between muscular or tibial-peroneal veins |
A) Conditions favoring full anticoagulation for 3 mo (as for proximal DVT) . |
---|
Previous VTE events |
Idiopathic event |
Secondary event but with persistently hampered complete mobilization |
Event occurring during pregnancy or puerperium |
Distal thrombosis involving the popliteal trifurcation |
Thrombosis involving >1 calf vein |
Distal thrombosis present in both legs |
Active cancer or chemotherapy |
Presence of predisposing diseases (eg, inflammatory bowel diseases) |
Known thrombophilic alterations |
B) Conditions favoring shorter anticoagulation |
First thrombotic event, if: |
secondary to surgery or to other removable risk factors (eg, plasters, immobilization, trauma, long trip) |
event occurring during contraceptive or replacement hormonal therapy (provided the therapy has been interrupted) |
with subsequent full mobilization |
no difference between muscular or tibial-peroneal veins |