Table of contents
Deep vein thrombosis
What's new
Updates 2023 ASH guidelines for the evaluation and management of venous thromboembolism.
Background
Overview
Guidelines
Key sources
Classification and risk stratification
Diagnostic investigations
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Diagnostic imaging
Evaluation for occult PE
Evaluation for occult malignancy
Evaluation for thrombophilia
Medical management
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Indications for anticoagulation
Choice of anticoagulation (initial management, provoked thrombosis)
Choice of anticoagulation (initial management, unprovoked thrombosis)
Choice of anticoagulation (extended therapy)
Duration of anticoagulation (provoked thrombosis)
Duration of anticoagulation (unprovoked thrombosis)
Aspirin for extended treatment
Thrombolytic therapy
Nonpharmacologic interventions
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Compression stockings (medically managed patients)
Compression stockings (after thrombus removal)
Therapeutic procedures
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Anticoagulation after thrombus removal
IVC filter placement
Anticoagulation after IVC filter placement
IVC filter removal
Surgical interventions
Specific circumstances
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Pregnant patients (postpartum thromboprophylaxis)
Pregnant patients (evaluation)
Pregnant patients (setting of care)
Pregnant patients (anticoagulation)
Pregnant patients (catheter-directed thrombolysis)
Pregnant patients (IVC filter placement)
Pediatric patients
Underweight or overweight patients
Patients with CKD
Patients with liver cirrhosis
Patients with thrombophilia
Patients with iliofemoral DVT (evaluation)
Patients with cancer-associated thrombosis (initial management)
Patients with cancer-associated thrombosis (extended therapy)
Patients with catheter-related thrombosis (catheter removal)
Patients with iliofemoral DVT (anticoagulation)
Patients with iliofemoral DVT (IVC filter placement)
Patients with iliofemoral DVT (systemic thrombolysis)
Patients with iliofemoral DVT (endovascular thrombectomy)
Patients with iliofemoral DVT (surgical thrombectomy)
Patients with iliofemoral DVT (venous stenting)
Patients with iliofemoral DVT (management of post-thrombotic syndrome)
Patients with iliofemoral DVT (follow-up)
Patients with upper extremity DVT
Patients with catheter-related thrombosis (anticoagulation)
Preventative measures
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Thrombophilia testing before hormone therapy (combined oral contraceptives)
Thrombophilia testing before hormone therapy (hormone replacement therapy)
Thromboprophylaxis in hospitalized patients
Follow-up and surveillance
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Management of recurrent thrombosis