Diagnosis and management of iliofemoral deep vein thrombosis: clinical practice guideline

doi:10.1503/cmaj.141614

. 2015 Nov 17;187(17):1288-1296.

doi: 10.1503/cmaj.141614. Epub 2015 Sep 28.

Diagnosis and management of iliofemoral deep vein thrombosis: clinical practice guideline

Affiliations

¹ Department of Radiology (Liu), Division of Hematology, Department of Medicine (Peterson, Zypchen, Yenson), Department of Vascular Surgery (Gagnon), Vancouver General Hospital, Vancouver, BC; Vascular Surgery Victoria (Dooner), Victoria General Hospital, Victoria, BC; Department of Interventional Radiology (Baerlocher), University of Toronto, Toronto, Ont.; Department of Hematology (Delorme), Kelowna General Hospital, Kelowna, BC; Departments of Emergency Medicine (Kim Sing) and Radiology (Wong), Foothills Medical Centre, Calgary, Alta.; Department of Vascular Surgery (Guzman), St. Boniface Hospital, Winnipeg, Man.; Department of Emergency Medicine (Greenfield), University of Calgary, Calgary, Alta.; Department of Hematology (Moodley), Royal University Hospital, Saskatoon, Sask. dave.liu@vch.ca.
² Department of Radiology (Liu), Division of Hematology, Department of Medicine (Peterson, Zypchen, Yenson), Department of Vascular Surgery (Gagnon), Vancouver General Hospital, Vancouver, BC; Vascular Surgery Victoria (Dooner), Victoria General Hospital, Victoria, BC; Department of Interventional Radiology (Baerlocher), University of Toronto, Toronto, Ont.; Department of Hematology (Delorme), Kelowna General Hospital, Kelowna, BC; Departments of Emergency Medicine (Kim Sing) and Radiology (Wong), Foothills Medical Centre, Calgary, Alta.; Department of Vascular Surgery (Guzman), St. Boniface Hospital, Winnipeg, Man.; Department of Emergency Medicine (Greenfield), University of Calgary, Calgary, Alta.; Department of Hematology (Moodley), Royal University Hospital, Saskatoon, Sask.

PMID: 26416989
PMCID: PMC4646749
DOI: 10.1503/cmaj.141614

Diagnosis and management of iliofemoral deep vein thrombosis: clinical practice guideline

David Liu et al. CMAJ. 2015.

. 2015 Nov 17;187(17):1288-1296.

doi: 10.1503/cmaj.141614. Epub 2015 Sep 28.

Affiliations

¹ Department of Radiology (Liu), Division of Hematology, Department of Medicine (Peterson, Zypchen, Yenson), Department of Vascular Surgery (Gagnon), Vancouver General Hospital, Vancouver, BC; Vascular Surgery Victoria (Dooner), Victoria General Hospital, Victoria, BC; Department of Interventional Radiology (Baerlocher), University of Toronto, Toronto, Ont.; Department of Hematology (Delorme), Kelowna General Hospital, Kelowna, BC; Departments of Emergency Medicine (Kim Sing) and Radiology (Wong), Foothills Medical Centre, Calgary, Alta.; Department of Vascular Surgery (Guzman), St. Boniface Hospital, Winnipeg, Man.; Department of Emergency Medicine (Greenfield), University of Calgary, Calgary, Alta.; Department of Hematology (Moodley), Royal University Hospital, Saskatoon, Sask. dave.liu@vch.ca.
² Department of Radiology (Liu), Division of Hematology, Department of Medicine (Peterson, Zypchen, Yenson), Department of Vascular Surgery (Gagnon), Vancouver General Hospital, Vancouver, BC; Vascular Surgery Victoria (Dooner), Victoria General Hospital, Victoria, BC; Department of Interventional Radiology (Baerlocher), University of Toronto, Toronto, Ont.; Department of Hematology (Delorme), Kelowna General Hospital, Kelowna, BC; Departments of Emergency Medicine (Kim Sing) and Radiology (Wong), Foothills Medical Centre, Calgary, Alta.; Department of Vascular Surgery (Guzman), St. Boniface Hospital, Winnipeg, Man.; Department of Emergency Medicine (Greenfield), University of Calgary, Calgary, Alta.; Department of Hematology (Moodley), Royal University Hospital, Saskatoon, Sask.

PMID: 26416989
PMCID: PMC4646749
DOI: 10.1503/cmaj.141614

No abstract available

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Figures

**Figure 1:**
Algorithm for the diagnosis and management of iliofemoral deep vein thrombosis (DVT). In the absence of severe symptoms, catheter-directed thrombolysis may be considered in selected patients with iliofemoral DVT (dotted line). CAT = cancer-associated thromboembolic disease, CT = computed tomography, IV = intravenous, IVC = inferior vena cava, LMWH = low-molecular-weight heparin, MR = magnetic resonance, UFH = unfractionated heparin, VKA = vitamin K antagonist.

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References

1. White RH. The epidemiology of venous thromboembolism. Circulation 2003;107(23 Suppl 1):I4–8. - PubMed
1. Vedantham S, Thorpe PE, Cardella JF, et al. ; CIRSE and SIR Standards of Practice Committees. Quality improvement guidelines for the treatment of lower extremity deep vein thrombosis with use of endovascular thrombus removal. J Vasc Interv Radiol 2009;20(7 Suppl):S227–39. - PubMed
1. Kahn SR, Shrier I, Julian JA, et al. Determinants and time course of the postthrombotic syndrome after acute deep venous thrombosis. Ann Intern Med 2008;149:698–707. - PubMed
1. Douketis JD, Crowther MA, Foster GA, et al. Does the location of thrombosis determine the risk of disease recurrence in patients with proximal deep vein thrombosis? Am J Med 2001;110:515–9. - PubMed
1. Kahn SR. How I treat postthrombotic syndrome. Blood 2009;114:4624–31. - PubMed

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[1] White RH. The epidemiology of venous thromboembolism. Circulation 2003;107(23 Suppl 1):I4–8. - PubMed

[2] White RH. The epidemiology of venous thromboembolism. Circulation 2003;107(23 Suppl 1):I4–8. - PubMed

[3] Vedantham S, Thorpe PE, Cardella JF, et al. ; CIRSE and SIR Standards of Practice Committees. Quality improvement guidelines for the treatment of lower extremity deep vein thrombosis with use of endovascular thrombus removal. J Vasc Interv Radiol 2009;20(7 Suppl):S227–39. - PubMed

[4] Vedantham S, Thorpe PE, Cardella JF, et al. ; CIRSE and SIR Standards of Practice Committees. Quality improvement guidelines for the treatment of lower extremity deep vein thrombosis with use of endovascular thrombus removal. J Vasc Interv Radiol 2009;20(7 Suppl):S227–39. - PubMed

[5] Kahn SR, Shrier I, Julian JA, et al. Determinants and time course of the postthrombotic syndrome after acute deep venous thrombosis. Ann Intern Med 2008;149:698–707. - PubMed

[6] Kahn SR, Shrier I, Julian JA, et al. Determinants and time course of the postthrombotic syndrome after acute deep venous thrombosis. Ann Intern Med 2008;149:698–707. - PubMed

[7] Douketis JD, Crowther MA, Foster GA, et al. Does the location of thrombosis determine the risk of disease recurrence in patients with proximal deep vein thrombosis? Am J Med 2001;110:515–9. - PubMed

[8] Douketis JD, Crowther MA, Foster GA, et al. Does the location of thrombosis determine the risk of disease recurrence in patients with proximal deep vein thrombosis? Am J Med 2001;110:515–9. - PubMed

[9] Kahn SR. How I treat postthrombotic syndrome. Blood 2009;114:4624–31. - PubMed

[10] Kahn SR. How I treat postthrombotic syndrome. Blood 2009;114:4624–31. - PubMed

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Diagnosis and management of iliofemoral deep vein thrombosis: clinical practice guideline

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