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Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis
Published on: February 10, 2023
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Deep vein thrombosis in pediatric patients
1Children's Hospital Los Angeles, Keck School of Medicine, University of Southern California, Los Angeles, California.
Pediatric Blood & Cancer
|November 9, 2017
Summary
Deep vein thrombosis (DVT) is rising in children due to improved critical care. Diagnosis uses ultrasound, treatment involves anticoagulation, and prevention strategies are under development.
Area of Science:
- Pediatric Medicine
- Hematology
- Vascular Medicine
Background:
- Pediatric deep vein thrombosis (DVT) incidence is increasing, particularly in critically ill children and those with chronic conditions.
- Key risk factors include central venous catheters, chronic illnesses, thrombophilia, and certain medications.
- Clinical presentation often involves limb pain and swelling.
Purpose of the Study:
- To review the current understanding of pediatric deep vein thrombosis (DVT).
- To discuss diagnostic methods, treatment approaches, and the status of prevention strategies for DVT in children.
Main Methods:
- Diagnosis primarily relies on Compression Doppler Ultrasonography.
- Treatment commonly involves subcutaneous anticoagulation.
- Newer direct oral anticoagulants are under investigation for pediatric use.
Main Results:
- Advances in pediatric critical care contribute to rising DVT rates.
- Ultrasound is the standard diagnostic tool for DVT.
- Subcutaneous anticoagulation is the current primary treatment, with oral anticoagulants being explored.
Conclusions:
- Pediatric DVT is a growing concern requiring ongoing research.
- Effective prevention methods are not yet established but are being actively studied.
- Further investigation into novel anticoagulants is warranted for pediatric DVT management.
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