Clinical Case Database / Category: Patient Management
Diagnosis and management of iliofemoral deep vein thrombosis
Publication details
Lewis Meecham, R Downing
Foundation Years Journal, volume 7, issue 5, p.10 (123Doc Education, London, May 2013)
Abstract
Lower limb deep vein thrombosis (DVT) commonly results in hospital admission. The management of ilio-femoral DVT (IF-DVT) increasingly involves the intervention of vascular surgeons and interventional radiologists to obviate the risks of long term complications. We present the subject to the Foundation Doctor and emphasise essential points in the care of these patients.
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Authors
Lewis Meecham (Corresponding author)
Department of Vascular Surgery
Worcester Royal Hospital
Charles Hastings Way
Worcestershire Royal
WR5 1DD
meechaml@doctors.org.uk
R Downing
Department of Vascular Surgery
Worcester Royal Hospital
Charles Hastings Way
Worcestershire Royal
WR5 1DD
References
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3. Wells et al. A simple clinical model for the diagnosis of deep vein thrombosis combined with impedance plethysmography: potential for the improvement in the diagnostic process. J Intern Med. Jan;243(1) : 15-23
4. R. Quintavalla, P. Larini, A. Miselli et al. Duplex ultrasound diagnosis of symptomatic proximal deep vein thrombosis of lower limbs. European journal of Radiology 1992 Jul-Aug(1):32-36
5. I. Nyamekye and L. Merker. Management of proximal deep vein thrombosis. Phlebology 2012;27 suppl 2:61-72
6. P. Gogalniceanu, C.J.C. Johnston, U. Khalid et al. Indications for thrombolysis in deep venous thrombosis. European Journal of Vascular and Endovascular surgery 2009. 38, 192-198.
7. M.H. Meissner, P. Gloviczki, A.J. Comerota et al. Early thrombus removal stratergies for acute deep venous thrombosis: clinical practice guidelines of the Society for Vascular Surgery and the Americal Venous Forum. Journal of Vascular Surgery 2012. May:55(5): 1449-62
8. T. Enden, Y. Haig, N.E. Kløw et al. Long-term outcome after additional catheter-directed thrombolysis versus standard treatment for acute iliofemoral deep vein thrombosis (the CaVenT study): a randomised controlled trial. Lancet. 2012 Jan 7:379(9810):31-8
9. F. Aziz, A.J. Comerota. Quantity of residual thrombus after successful catheter-directed thrombolysis for iliofemoral deep venous thrombosis correlates with recurrence. European Journal of Vascular and Endovascular surgery. 2012 Aug:44(2): 210-3
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About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.