Polling Station
Poll 01/11/2018 – 30/11/2018
Ilio-femoral deep vein thrombosis
45 years old female patient presenting with painful swelling of the right limb during the last 24 hours. Wells score on admission was 4 points. The duplex ultrasound scanning revealed a femoropopliteal and iliac deep vein thrombosis. No other risk factors were present. No previous operations. No thrombophilia documented.
Question #1
Which type of anticoagulant would be your first treatment option?
- LMWH and then Warfarin
- Unfractionated Heparin and then Warfarin
- LMWH and then NOAC
- Unfractionated Heparin and then NOAC
- Primary NOAC therapy
Question #2
Do you think that a paraneoplastic workout is necessary?
- Yes
- No
Question #3
Which would be your further imaging modality?
- CT phlebography
- MR phlebography
- Conventional phlebography
- None
Question #4
Do you think that this patient might benefit from endovascular therapy?
- Yes
- No
Question #5
In case of endovascular therapy which would be your treatment option?
- Catheter-directed thrombolysis (CDT)
- Endovascular thrombectomy + (CDT)
- Endovascular thrombectomy + CDT + provisional Stent
- Endovascular thrombectomy + CDT + Stent
Question #6
Do you routinely use IVUS in vein interventions?
- Yes
- No
Question #7
Do you think that this patient might benefit from surgical therapy?
- Yes
- No