Should I start my patient with a distal deep vein thrombosis (DVT) on anticoagulation?

By William Aird

Not clear whether anticoagulation therapy is beneficial in this low risk case, but clinical practice guidelines recommend treating with anticoagulant if patients are highly symptomatic or if there is a high risk for extension. The alternative is to withhold anticoagulation and carry out serial imaging for 2 weeks to rule out extension.