Isolated distal deep venous thrombosis

Background

• Isolated tibial or peroneal DVTs
• Up to 25% IDDVTs propagate in hospitalized pts, but incidence is lower in ambulatory pts

Management

• Repeat DVT scan in 2-5 days to look for clot propagation
• May require anticoagulation for 3 months if clot extends proximally

Sources

• Kline JA. Pulmonary Embolism and Deep Vein Thrombosis, in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 8. St. Louis, Mosby, Inc., 2013, (Ch) 88: p 1157-1170.
• Guyatt GH, Akl EA, Crowther M, Gutterman DD, Schuünemann HJ. Chest. 2012;141(2_suppl):7S-47S. doi:10.1378/chest.1412S3.