DVT - Venous thrombolysis / thrombectomy
PREOP
- All patients will be seen in clinic
- Need labs: CBC, Chem comp, INR
- Need duplex venous ultrasound (if not previously available)
- Measure diameter of the extremities for follow up (at site of greatest swelling and the site of the opposite extremity at the identical level)Take a picture of both extremities
ANTICOAGULATION/ANTIPLATELETS
- Do not stop anticoagulation.
PRESCRIPTIONS (give to patient in prep consult)
- Norco 5/325mg take one tablet po q4h prn pain
- Colace 250mg po daily – for at least 3 days. Continue while taking narcotics
LOCATION OF THE PROCEDURE
- Cath lab
PREOPERATIVE ORDERS
- IV with NS (Normal Saline) 75ml/hr
FOLLOW UP
- Phone call (1-2 days)
- 1-2 wks Clinic visit with baseline duplex venous ultrasound
- In general patients will be referred to coumadin clinic
- 1 and 3 mo