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DVT Current Concept

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Saeed Al-Shomimi
Saeed Al-Shomimi
Health & Medicine
1 of 84
DVT Current Concepts Dr Saeed Al-Shomimi King Fahad Hospital of University Khobar – Saudi Arabia 2005
Venous Thromboembolism Stasis Activation of Coagulation Vessel Damage Virchow's Triad
Etiology
FREQUENTLY ENCOUNTERED ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ETIOLOGY Obscure Zones
[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Autoimmune Vasculitis ,[object Object],[object Object],[object Object],[object Object],[object Object],Especially in young with no apparent cause
INVESTIGATIONS
LAB ,[object Object],[object Object],[object Object],[object Object],[object Object]
RADIOLOGY ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
MANAGEMENT
GENERAL MEASURES ,[object Object],[object Object]
[object Object],[object Object],[object Object]
I-Anticoagulants ,[object Object],[object Object]
Contraindication ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
1-Heparin ,[object Object],[object Object],[object Object],[object Object],[object Object]
Advantages of LMWH over SH ,[object Object],[object Object]
[object Object]
Route of Admn. & Dose ,[object Object],[object Object]
[object Object]
2-WARFARIN ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Duration of anti-coagulant therapy ,[object Object],[object Object],[object Object]
BUT…What if treatment with anti-coagulant is contraindicated??? ,[object Object]
II-Thrombolytics ,[object Object],[object Object],[object Object]
[object Object],[object Object]
III-Prophylaxis ,[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],High risk of DVT Moderate risk of DVT
<0.1% <1% <10% Low-risk 0.1-1% 1-10% 10-40% Moderate-risk >1% 10-30% 40-80% High-risk Frequency of Fatal PE Frequency of Proximal Vein Thrombosis Frequency of Calf Vein Thrombosis Category
Anti-coagulants ,[object Object],[object Object]
[object Object],[object Object]
BUT..WHAT IF THE ANTICOAGULANT IS C/I??? ,[object Object]
What Is New ?
PREVENTION AND TREATMENT OF VENOUS THROMBOEMBOLISM International Consensus Statement (Guidelines according to scientific evidence) (Int. Angiol., June 2006)
[object Object],[object Object],[object Object],[object Object],[object Object],International Consensus Statement Reviewed/modified
 
 
 
GENERAL AND VASCULAR SURGICAL PATIENTS
THE RISK ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
Prophylaxis ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Recommendations ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
BURNS
THE RISK ,[object Object],[object Object]
Recommendations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CANCER PATIENTS
THE RISK ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
PROPHLAXIS ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object]
Recommendations ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object]
MULTIPLE TRAUMA
THE RISK ,[object Object],[object Object],[object Object]
Recommendations ,[object Object],[object Object]
THANK YOU

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