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Managing Venous Thromboembolic Disease On-Call
Jason W Mitchell1, William G O Connell1, Charles A Gilliland2
1Department of Radiology and Imaging Sciences, Division of Interventional Radiology and Image Guided Medicine, Emory University Hospital, Atlanta, GA.
Techniques in Vascular and Interventional Radiology
|December 12, 2017
Summary
Managing on-call venous thromboembolic disease requires balancing patient risk, benefits, and hospital resources. This approach helps determine emergent versus delayed intervention for deep venous thrombosis and pulmonary embolism cases.
Area of Science:
- Interventional Radiology
- Vascular Medicine
- Emergency Medicine
Background:
- On-call interventional radiology (IR) management of venous thromboembolic disease (VTE) presents unique challenges.
- Decisions involve balancing immediate patient needs with available resources, including IR suite capacity and hospital support.
- Effective on-call VTE management requires a systematic approach to risk-benefit assessment.
Purpose of the Study:
- To outline a practical framework for managing on-call VTE cases.
- To differentiate between emergent and delayed interventional treatment strategies.
- To emphasize the importance of preprocedural clinical evaluation.
Main Methods:
- Review of on-call VTE case management protocols in an interventional radiology practice.
- Categorization of VTE cases (e.g., deep venous thrombosis, acute pulmonary embolism).
- Criteria for determining emergent versus delayed intervention based on clinical assessment and resource availability.
Main Results:
- A structured approach allows for efficient decision-making in on-call VTE scenarios.
- Preprocedural clinical assessment is paramount in guiding treatment urgency.
- Resource availability significantly influences the timing and type of intervention.
Conclusions:
- A systematic, resource-aware approach optimizes on-call VTE management.
- Timely and appropriate intervention for VTE can be achieved through careful clinical assessment.
- Interventional radiology plays a critical role in the emergent and urgent care of VTE patients.
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