New Venous Thromboembolism Guidelines

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Michael D., D.O. -

If an unprovoked DVT embolized and was small enough to be subsegmental, then are we recommending different treatments for the same condition?

Rob O -

Hi Mike,

Unprovoked clots, regardless of how big or small, are not considered low risk. One reason is that the unprovoked event is considered higher risk for recurrent or progressive venous thromboembolism.

Here is some of the text from the guideline...
we consider the following to be risk factors for recurrent or progressive VTE if patients are not anticoagulated -- patients who: are hospitalized or have reduced mobility for another reason; have active cancer (particularly if metastatic or being treated with chemotherapy); or have no reversible risk factor for VTE such as recent surgery.

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