علاج تجلط الوريد الكلوي: الجلطة الوريدية العميقة البعيدة المعزولة تحت الوريد المأبضي مع خطر امتداد مرتفع

References

DOI: 10.3949/ccjm.91a.22090

• Isolated distal DVT ("calf DVT") is VTE below the popliteal vein.
• The 2021 CHEST guidelines recommend anticoagulation for at least 3 months for patients with a high risk of thrombus extension (Table 1) as these patients are at greater risk of progression to proximal DVT and pulmonary embolism.
• Oral anticoagulants used in the treatment of VTE include the direct oral anticoagulants (DOACs) apixaban, rivaroxaban, edoxaban, and dabigatran, and the vitamin K antagonist warfarin.
• The 2021 CHEST guidelines recommend the use of DOACs over warfarin whenever possible, based on data showing a lower risk of major bleeding (especially intracranial hemorrhage) with DOACs vs warfarin (strong recommendation with moderate-certainty evidence).