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