The ABCs of Iliofemoral DVT

A 22-year-old athlete with a history of the factor V Leiden mutation and previous deep vein thrombosis (DVT) presented to his primary care physician with a swollen right leg after running a race over the weekend in hot weather. A 46-yearold woman bound to a wheelchair who had stage IV ovarian cancer developed progressive bilateral lower extremity leg swelling that had become intolerable and a remote history of an inferior vena cava (IVC) filter placed. A 32-year-old woman with intrauterine fetal demise underwent therapeutic abortion with a dose of mifepristone. A 50-year-old man with recent air travel history experienced sudden increased swelling and erythema of the right thigh to the ankle. These patients have a suspicion of iliofemoral DVT and present with different prodromes, circumstances, and needs in the management of their suspected DVT. The intent of this article is to provide a general outline and flow, taking into consideration the continuum of care in a multidisciplinary hospital-based model utilizing the recently published Interdisciplinary Expert Panel on Iliofemoral DVT (InterEPID) as the basis for discussion (Figure 1).1