The acute management of deep vein thrombosis (DVT) involves a multifaceted approach that includes identification of risk factors, accurate diagnosis, risk stratification, and pharmacological treatment. The course has provided a deep dive into these various aspects, discussing the epidemiology and pathophysiology of DVT, diagnostic modalities, anticoagulant options, interventional therapies, and the approach to special populations and complications.

Risk stratification through clinical prediction rules like the Wells score, as well as the interpretation of D-dimer test results and Doppler ultrasonography, play crucial roles in diagnosis. Anticoagulation remains the cornerstone of treatment, with several options including heparin, low molecular weight heparin (LMWH), fondaparinux, and direct oral anticoagulants (DOACs) like rivaroxaban, apixaban, and edoxaban. Transitioning between these agents and determining the appropriate duration of therapy is equally important.

References

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