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