By vgreene, 12 March, 2021 Favor shorter course 3 6mo per ASH 3mo per ACCP 6mo per ASCO for CA pts of anticoagulation for primary tx regardless of provocation in most pts evaluate at end of primary tx for need to continue tx as secondary prevention14 15
By vgreene, 12 March, 2021 In pts w subsegmental PE no DVT in legs Consider clinical surveillance in those w low risk of recurrent VTE anticoagulate if high risk for recurrence12 or pt w CA13 2
By vgreene, 12 March, 2021 If isolated distal leg DVT w o severe sx or risk of extension 11 Consider serial imaging x2wk anticoagulate if high risk of extension or w any degree of extension2
By vgreene, 12 March, 2021 If extensive DVT Consider initial thrombolytic tx followed by anticoagulation in select pts consider cath directed tx CDT over systemic thrombolysis
By vgreene, 12 March, 2021 Consider DOACs over vit K antagonists VKA in most pts 3 5 in general no DOAC preferred over another6
By vgreene, 12 March, 2021 Consider home tx or early d c for pts w uncomplicated DVT or PE at low risk for complications1 2
