Proximal DVT (iliofemoral / popliteal)
Encounter flow
10/12 authoredCanonical 12-phase frame with authored status for this dossier.
Frame
Proximal DVT = thrombus at or above popliteal vein; full-dose AC ≥3 months minimum; high CDT-eligibility for iliofemoral; route to cardio.dvt.core.v1 for diagnostic arc
proximal location confirmed on imaging
Patient inputs (7)
Older patients higher recurrence and bleed risk; informs extended-AC decision
Provoked vs unprovoked status drives 3-month vs extended AC duration decision
Whole-leg vs calf-only distribution differentiates proximal vs distal DVT
Non-compressible femoral/popliteal vein confirms proximal DVT; Bernardi JAMA 2008 single-time whole-leg US strategy (PMID 18272884)
Baseline Hgb + platelet for AC + bleed risk assessment
HAS-BLED + recent surgery + falls history determines AC eligibility and CDT candidacy
eGFR for DOAC dosing; CKD-EPI 2021 race-free preferred
* = hard-required. Engine cannot meaningfully run until these are filled.
Severity triggers (5)
- informationallife_threateningphlegmasia_cerulea_dolensMassive iliofemoral DVT with cyanosis, severe edema, compromised arterial inflow → limb-threateningTrigger could not be auto-evaluated — needs clinician judgement.
- informationallife_threateningcdt_associated_major_bleedMajor bleed on catheter-directed thrombolysis (Hgb drop ≥2 g/dL, transfusion required, ICH, retroperitoneal)Trigger could not be auto-evaluated — needs clinician judgement.
- informationallife_threateningconcurrent_massive_pe_with_dvtProximal DVT + concurrent PE with hypotension or shock (massive PE)Trigger could not be auto-evaluated — needs clinician judgement.
- informationalsevereivc_extension_or_iliac_progressionDVT extension into IVC or progression of iliac thrombus despite therapeutic ACTrigger could not be auto-evaluated — needs clinician judgement.
- informationalmoderateprogressive_pts_at_6moProgressive post-thrombotic syndrome (Villalta ≥10) at 6 mo despite optimal ACTrigger could not be auto-evaluated — needs clinician judgement.
Workflow calculators
Run this disease's risk and dosing calculators inline.
Recommended regimen
Proximal DVT full-dose anticoagulation — DOAC-first per ACCP 2021 / ASH 2020- apixabanfirst linedoac_factor_xa_direct10 mg BID × 7 d → 5 mg BID • PO • BID × ≥3 monthstriggers: proximal_dvt_confirmed, no_active_bleed, egfr_above_25AMPLIFY (Agnelli NEJM 2013 PMID 23808982) — non-inferior to LMWH/warfarin with less major bleed; ACCP 2021 first-linerxcui 1364430
- rivaroxabanfirst linedoac_factor_xa_direct15 mg BID × 21 d → 20 mg daily with food • PO • BID then daily × ≥3 monthstriggers: proximal_dvt_confirmed, no_active_bleed, egfr_above_30EINSTEIN-DVT (Bauersachs NEJM 2010 PMID 21128814) — non-inferior to enoxaparin/VKA; single-drug regimenrxcui 1114195
- edoxabanfirst linedoac_factor_xa_direct60 mg daily after 5 d LMWH lead-in (30 mg if CrCl 15-50 or weight ≤60 kg) • PO • daily × ≥3 monthstriggers: proximal_dvt_confirmed, lmwh_lead_in_completedHokusai-VTE (Büller NEJM 2013 PMID 23991958) — non-inferior to warfarin with less bleedrxcui 1599538
- enoxaparincomorbidity specificlmwh1 mg/kg SC BID (or 1.5 mg/kg daily); dose-reduce if CrCl <30 to 1 mg/kg daily • SC • BIDtriggers: pregnancy, severe_renal_impairment_doac_unsafe, doac_intoleranceASH 2018 VTE in Pregnancy (Bates PMID 30482767); ACCP 2021 LMWH preferred in pregnancy and select renal/comorbid scenariosrxcui 67108
- warfarincomorbidity specificvitamin_k_antagonist5 mg daily; INR target 2-3 • PO • dailytriggers: triple_positive_aps, severe_renal_impairment_doac_unsafe, mechanical_valveTRAPS (Pengo Blood 2018 PMID 30002145) — warfarin preferred over rivaroxaban in triple-positive APSrxcui 11289
outpatient playbook — drug actions (1)
- 1. maintenance apixabanrxcui 1364430apixaban 5 mg BID (full) or 2.5 mg BID (extended-reduced) • PO • BIDtrigger: Post 3-mo decisionAMPLIFY/AMPLIFY-EXT
Auto-drafted A&P note
outpatientSubjective
- Possible entry pathways: Whole-leg swelling, thigh pain, warmth → suggests proximal (iliofemoral) DVT (Wells Lancet 1997); Compression US shows non-compressible femoral or popliteal vein → proximal DVT confirmed; Massive iliofemoral DVT with cyanosis, severe edema, compromised arterial inflow → limb-threatening; CDT/thrombectomy emergency.
Objective
- No vitals, labs, or imaging entered for this encounter.
Assessment
**Proximal DVT (iliofemoral / popliteal)** (cardio.dvt.proximal.v1). Scope: Proximal DVT = thrombus at or above popliteal vein; full-dose AC ≥3 months minimum; high CDT-eligibility for iliofemoral; route to cardio.dvt.core.v1 for diagnostic arc No severity triggers fired against current inputs.
Plan
Regimen axis: **Proximal DVT full-dose anticoagulation — DOAC-first per ACCP 2021 / ASH 2020**. 1. apixaban 10 mg BID × 7 d → 5 mg BID PO BID × ≥3 months (doac_factor_xa_direct, first line) — AMPLIFY (Agnelli NEJM 2013 PMID 23808982) — non-inferior to LMWH/warfarin with less major bleed; ACCP 2021 first-line 2. rivaroxaban 15 mg BID × 21 d → 20 mg daily with food PO BID then daily × ≥3 months (doac_factor_xa_direct, first line) — EINSTEIN-DVT (Bauersachs NEJM 2010 PMID 21128814) — non-inferior to enoxaparin/VKA; single-drug regimen 3. edoxaban 60 mg daily after 5 d LMWH lead-in (30 mg if CrCl 15-50 or weight ≤60 kg) PO daily × ≥3 months (doac_factor_xa_direct, first line) — Hokusai-VTE (Büller NEJM 2013 PMID 23991958) — non-inferior to warfarin with less bleed 4. enoxaparin 1 mg/kg SC BID (or 1.5 mg/kg daily); dose-reduce if CrCl <30 to 1 mg/kg daily SC BID (lmwh, comorbidity specific) — ASH 2018 VTE in Pregnancy (Bates PMID 30482767); ACCP 2021 LMWH preferred in pregnancy and select renal/comorbid scenarios 5. warfarin 5 mg daily; INR target 2-3 PO daily (vitamin_k_antagonist, comorbidity specific) — TRAPS (Pengo Blood 2018 PMID 30002145) — warfarin preferred over rivaroxaban in triple-positive APS Setting playbook (outpatient) — Maintenance phase AC + PTS surveillance + recurrence prevention; long-term shared decision-making for unprovoked and persistent-risk patients 6. maintenance apixaban apixaban 5 mg BID (full) or 2.5 mg BID (extended-reduced) PO BID — Post 3-mo decision (AMPLIFY/AMPLIFY-EXT) Non-pharmacologic actions: - Compression stocking only if symptomatic - Address modifiable VTE risk factors - Patient education ongoing AVOID / contraindication checks: - Doac_avoid_active_bleeding (FDA labels) - Apixaban_avoid_egfr_below_15 (FDA label) - Rivaroxaban_avoid_egfr_below_30 (FDA label) - Edoxaban_avoid_egfr_above_95_reduced_efficacy (FDA label) - Doac_avoid_triple_positive_aps_use_warfarin (TRAPS PMID 30002145) - Warfarin_avoid_pregnancy_use_lmwh (ASH 2018)
Monitoring
Regimen monitoring: - cbc q week x first month then monthly (ASH 2020) - creatinine q3mo during doac for dose adjustment (FDA labels) - inr q1-2 weeks during warfarin initiation target 2-3 (ACCP 2021) - pts surveillance villalta at 3-6mo (Kahn Lancet 2014) Setting (outpatient) monitoring: - Annual reassessment of provoked vs persistent risk - CBC + BMP - Recurrent VTE symptoms reviewed Follow-up plan: 3-month decision: stop AC if provoked + transient major risk resolved; continue extended (reduced dose) if unprovoked or persistent risk; HERDOO2/DASH for risk stratification - Close-out criterion: extended-AC vs stop decision documented Monitoring phase: Bleeding screen at each visit; CBC + BMP at week 1 then monthly; PTS surveillance at 3-6 mo (Villalta scale); recurrent VTE symptoms
Disposition
Current setting: outpatient — Maintenance phase AC + PTS surveillance + recurrence prevention; long-term shared decision-making for unprovoked and persistent-risk patients Disposition criteria: - Long-term continuation; cross-link to chronic engine if persistent risk Escalation triggers (move to higher acuity): - New cancer dx → re-evaluate per cancer-VTE protocol - New pregnancy plan → switch to LMWH
Earlier-Return Triggers
Return-precaution thresholds (watch for): - [LIFE_THREATENING] Massive iliofemoral DVT with cyanosis, severe edema, compromised arterial inflow → limb-threatening - [LIFE_THREATENING] Major bleed on catheter-directed thrombolysis (Hgb drop ≥2 g/dL, transfusion required, ICH, retroperitoneal) - [LIFE_THREATENING] Proximal DVT + concurrent PE with hypotension or shock (massive PE)
Citations
- ACCP/CHEST 2021 Antithrombotic + ASH 2020 VTE Treatment + ESC 2019 PE [PMID:34352295](https://pubmed.ncbi.nlm.nih.gov/34352295/) - Cited evidence (PMID 33007077) [PMID:33007077](https://pubmed.ncbi.nlm.nih.gov/33007077/) - Cited evidence (PMID 23808982) [PMID:23808982](https://pubmed.ncbi.nlm.nih.gov/23808982/) - Cited evidence (PMID 23216615) [PMID:23216615](https://pubmed.ncbi.nlm.nih.gov/23216615/) - Cited evidence (PMID 21128814) [PMID:21128814](https://pubmed.ncbi.nlm.nih.gov/21128814/) Last reconciled with current guidelines: 2026-05-14.
- ACCP/CHEST 2021 Antithrombotic + ASH 2020 VTE Treatment + ESC 2019 PE — PMID:34352295
- Cited evidence (PMID 33007077) — PMID:33007077
- Cited evidence (PMID 23808982) — PMID:23808982
- Cited evidence (PMID 23216615) — PMID:23216615
- Cited evidence (PMID 21128814) — PMID:21128814