By vgreene, 12 March, 2021 May consider stopping anticoagulation after primary tx 3 6mo per ASH 3mo per ACCP only in those w recurrent DVT PE provoked by transient risk factors
By vgreene, 12 March, 2021 If recurrent DVT PE provoked by transient risk factor in pt w either previous unprovoked or chronic risk factor provoked VTE Consider indefinite anticoagulation
By vgreene, 12 March, 2021 If extensive DVT Consider initial thrombolytic tx followed by anticoagulation consider cath directed tx CDT over systemic thrombolysis
By vgreene, 12 March, 2021 Consider DOACs over vit K antagonists VKA in most pts 2 no DOAC preferred over another 3 if unable to use DOACs VKA initial heparin tx preferred over LMWH alone4
By vgreene, 12 March, 2021 Consider home tx or early d c for pts w uncomplicated DVT or PE at low risk for complications1
By vgreene, 12 March, 2021 Treat w same anticoagulation options as initial VTE PE but consider extending tx indefinitely after 2nd event
