Managing challenging patients with venous thromboembolism: a practical, case-based approach

Pol Arch Intern Med. 2017 Jan 4;127(1):41-46. doi: 10.20452/pamw.3879. Epub 2017 Jan 4.

Abstract

The management of patients with venous thromboembolism (VTE) is a common clinical scenario that, for the most part, involves well‑established, evidence‑based treatment pathways. However, important unanswered clinical questions remain that are the focus of ongoing research. The aim of this narrative review is to provide a practical, case‑based approach to the following clinical scenarios in which therapeutic management pathways are less well established: How long to administer anticoagulation to patients with a first unprovoked VTE? How to manage complex patients with cancer‑associated VTE? When and how to treat patients with splanchnic vein thrombosis? When to use thrombolytic therapy for deep vein thrombosis?

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Aged
  • Anticoagulants / administration & dosage
  • Anticoagulants / therapeutic use*
  • Disease Management*
  • Evidence-Based Medicine
  • Female
  • Humans
  • Male
  • Middle Aged
  • Practice Guidelines as Topic
  • Venous Thromboembolism / complications
  • Venous Thromboembolism / drug therapy*

Substances

  • Anticoagulants