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Which DVT or PE Patient to Refer to a Thrombosis Center. a) Definitely: Young patient (< 50 years?) with unprovoked (idiopathic) DVT or PE Unusual clot (e.g. portal, mesenteric, cerebral venous thrombosis) Arterial clot in a patient < 45-50 years of age without arteriosclerosis
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Which DVT or PE Patient to Refer to a Thrombosis Center • a) Definitely: • Young patient (< 50 years?) with unprovoked (idiopathic) DVT or PE • Unusual clot (e.g. portal, mesenteric, cerebral venous thrombosis) • Arterial clot in a patient < 45-50 years of age without arteriosclerosis • Individual with strong thrombophilia • Individual with family history of a strong thrombophilia • b) Probably • Any patient with unprovoked (idiopathic) DVT or PE • Any patient with recurrent DVT or PE • c) May be • Any patient with DVT or PE due to a major temporary risk factor (major surgery, hospitalization, trauma) • Any patient with significant postthrombotic syndrome