Treatment of isolated distal deep vein thrombosis: an international survey of healthcare professionals

• DOI: 10.1007/s11239-025-03091-5
• Publication Date: 2025-04-11T20:35:46Z
• Authors: Ilia Makedonov; Lior Kapitanski; Joris Giai; Céline Vermorel; Elisabeth Chevrier; Grégoire Le Gal; Susan R. Kahn; Lina Khider; Marie-Antoinette ...; Jameel Abdulrehman; Jean-Luc Bosson; Marc Righini; Jean-Philippe Gal...
• Keywords: Angiology; Popliteal vein

Abstract Isolated distal deep venous thrombosis (iDDVT) is an infra-popliteal DVT without pulmonary embolism (PE). It a common condition, but its management remains debated. We conducted survey distributed by email to the members of French Society Vascular Medicine, Thrombosis Canada, Swiss Angiology and INVENT-VTE research networks; Our objectives were determine how healthcare professionals specialized in manage iDDVT obtain experts input on design future clinical trial. Participants asked they diagnosed managed what should be treatment arms trial management. 472 specialists answered questionnaire, mainly from France ( n = 337), Canada 61) Switzerland 28). Overall, 87.9% 405) respondents stated that their center always performed whole leg ultrasound case suspected patients with usually at least once week 50.3% 229) cases. In 91.0% 415) cases treated anticoagulation more than 75% time, therapeutic doses for duration 3 months 90.2% 406) 74.7% 334) respectively. Most respondent muscular deep-calf vein similarly. More 60% favored trials comparing prophylactic versus anticoagulation. real-world, international, practice shows almost all conduct ultrasonography treat months.