Venous Thromboembolism Treatment Guidelines-Venous Thromboembolism Treatment Guidelines

Video Transcription

Video Summary

In this video, Dr. Henkin discusses the treatment guidelines for venous thromboembolism (VTE). He starts by explaining the different time points in VTE treatment, including initial treatment, primary treatment, and secondary prevention. Dr. Henkin then goes on to discuss specific patient scenarios and the recommended anticoagulant options. For a low-risk pulmonary embolism, outpatient treatment is sufficient if the patient has access to medication and follow-up care. The use of direct oral anticoagulants (DOACs) is recommended over vitamin K antagonists in most cases. In cases of isolated distal deep vein thrombosis (DVT), serial imaging may be considered instead of anticoagulation. However, if the DVT extends into proximal veins, anticoagulation is recommended. The use of systemic thrombolysis is recommended for massive pulmonary embolism, with catheter or direct-assisted therapies considered if there is high bleeding risk or failed systemic thrombolysis. Dr. Henkin also discusses the duration of anticoagulation, with the primary phase lasting 3-6 months and the secondary prevention phase lasting 3-6 months. He concludes the video by summarizing the appropriate dosing of anticoagulants for different phases of treatment.

Keywords

venous thromboembolism

treatment guidelines

anticoagulant options

pulmonary embolism

direct oral anticoagulants

distal deep vein thrombosis