Abstract
Goal of venous thromboembolism (VTE) management is to relieve symptom promptly, to avoid post-thrombotic sequel, and to prevent symptomatic pulmonary thromboembolism (PTE). We herein describe acute phase management of patients with VTE, regarding ambulation, compression therapy, anticoagulation therapy, thrombolytic therapy, and inferior venal cava filter (IVCF). Ambulation is permitted immediately after optimal anticoagulation level is achieved. Compression therapy is adopted soon after diagnosis and admission. Anticoagulation therapy is essential part of VTE treatment, and so almost all patients receive any anticoagulation. Thrombolytic therapy is adopted for severe deep vein thrombosis or PTE with circulatory failure. IVCF insertion is considered when anticoagulation therapy is contraindicated. Bleeding complication was encountered in one patient who received anticoagulation therapy, and three patients who received thrombolytic therapy. No symptomatic PTE was observed during VTE treatment. Early ambulation and compression therapy is preferred under anticoagulation in the management of acute phase VTE patients.
