Deep vein thrombosis special scenario recurrence
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Editor(s)-In-Chief: The APEX Trial Investigators, C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rim Halaby, M.D. [2]
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Overview
Initial test in these patients should be a compression ultrasound if a previous ultrasound is available for comparison. A highly-sensitive D-dimer is also a possible initial test. If the compression ultrasound results are abnormal but non-diagnostic (increase in residual venous diameter of < 4 but ≥ 2 mm), further testing with venography or CT venography may be indicated. Patients suspected to have a recurrent episode of DVT may benefit from thrombophilia evaluation.[1]
2012 VTE, Thrombophilia, Antithrombotic Therapy, and Pregnancy: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (DO NOT EDIT)[1]
Venography in Patients With Suspected Recurrent DVT
Compression Ultrasonography in Patients With Suspected Recurrent DVT
Pretest Probability Assessment in Patients With Suspected Recurrent DVT
References
- ↑ 1.0 1.1 Bates SM, Greer IA, Middeldorp S, Veenstra DL, Prabulos AM, Vandvik PO; et al. (2012). "VTE, thrombophilia, antithrombotic therapy, and pregnancy: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines". Chest. 141 (2 Suppl): e691S–736S. doi:10.1378/chest.11-2300. PMC 3278054. PMID 22315276.