Skip to main content

Deep Vein Thrombophlebitis

Jaine L. McKenzie, MD, Patricia Martinez Quinones, MD and Keith O’Malley, MD, FACS Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Development of blood clot within the deep veins, usually accompanied by inflammation of the vessel wall

  • Major clinical consequences are embolization (usually to the lung), recurrent t...

DIAGNOSIS

HISTORY

  • Higher clinical suspicion in patient with risk factors (see “Risk Factors” section)

  • DVT is classified as provoked or idiopathic based on underlying risk factors.

  • Clinical assessment of ...

TREATMENT

MEDICATION

Consider starting therapy even before diagnosis confirmation in patients with high pretest probability and acceptable risk of bleeding. 
  • Anticoagulation is mainstay of therapy. Pati...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Resumption of normal activity with avoidance of prolonged immobility

  • Compression stockings not routinely recommended for prevention of PTS after acute DVT (4)[B] b...

REFERENCES

1
Dresang L, Fontaine P, Leeman L, et al. Venous thromboembolism during pregnancy. Am Fam Physician.  2008;77(12):1709–1716. [View Abstract on OvidMedline]
2
Baumann Kreuziger LB, Jaffray...

ADDITIONAL READING

  • Agnelli G, Buller HR, Cohen A, et al; for AMPLIFY Investigators. Oral apixaban for the treatment of acute venous thromboembolism. N Eng J Med.  2013;369(9):799–808. [View Abstr...

CODES

ICD10

  • I80.209 Phlbts and thombophlb of unsp deep vessels of unsp low extrm

  • I80.299 Phlebitis and thombophlb of deep vessels of unsp low extrm

  • I80.10 Phlebitis and thrombophlebitis of unspecified fe...

CLINICAL PEARLS

  • Many cases of VTE are asymptomatic.

  • At time of DVT diagnosis, as many as 40% of patients also have asymptomatic PE.

  • Wells criteria are useful to determine the pretest probability of a DV...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

 
×