Library
Hematology
·
medium
Treatment of Deep Vein Thrombosis
Flowchart
Play
Proximal DVT → anticoag; check for thrombolysis/IVC filter triggers.
Decision
Outcome
Decision
Proximal lower-extremity DVT — first decision?
✓
PE with hemodynamic instability OR massive iliofemoral DVT with limb-threatening ischemia?
✓
Standard proximal DVT → check contraindications to anticoagulation
Decision
Indication for thrombolysis present — contraindications?
✓
Yes → consider mechanical thrombectomy
✓
No → systemic or catheter-directed thrombolysis
Outcome
Mechanical/surgical thrombectomy
Outcome
Catheter-directed thrombolysis
Decision
Contraindications to anticoagulation?
✓
Yes → IVC filter
✓
No → anticoagulation (DOAC preferred)
Outcome
IVC filter; reassess anticoagulation in 1–2 weeks
Outcome
Anticoagulation: provoked → 3 mo, unprovoked or cancer → ≥3 mo, often indefinite
DOACs (apixaban, rivaroxaban) preferred unless cancer-associated, severe renal failure, or pregnancy (LMWH).
Drag to pan · scroll to navigate