MANAGEMENT OF DEEP VENOUS THROMBOSIS

Introduction: Acute unilateral leg swelling and/or pain is one of the most common complaints to be encountered in an emergency department (ED). The prompt responses is devoted to adequately Diagnose or eliminate the critical causes. Deep vein thrombosis has a high incidence as of 1 per 1000 person-year. When it comes to an emergency department, it has been estimated that about 10-25 percent of suspected cases would turn out to have a DVT. The concern of the presence of IC-DVT has emerged from the risk of thrombus propagation. Hence, development of A proximal DVT. This in turn, as stated earlier, has a higher risk of complication with pulmonary embolism or post-thrombotic syndrome.

Aim of work: In this review, we will discuss the recent available evidence regarding the management of DVT.

Methodology: We performed a systematic search for the management of deep venous thrombosis. The PubMed search engine (http://www.ncbi.nlm.nih.gov/) and Google Scholar search engine (https://scholar.google.com) were the main search engine that has been used. We also included in our search the recent advancement and guidelines regarding the management of deep venous thrombosis.

Conclusions: Unilateral leg pain and/or swelling is a common ED complaint. The diagnosis of isolated calf vein DVT is particularly challenging when the Standard diagnostic modality, a whole-leg ultrasound WLUS, is not readily available. Treatment is controversial, universal versus selective anticoagulation. The risks of proximal progression and life-threatening embolization should be considered along the benign nature of a distal clot. An individual patient risk factors for both clot propagation and the complications of therapy should also be considered.

Key words: Deep venous thrombosis, emergency, management, screening and prevention.