Venous Thrombosis and Thromboembolism: Advanced Performance Protocols and Interpretation and Updates on Medical and Interventional Disease Management, Part 1

Deep vein thrombosis (DVT) and pulmonary embolism (PE) are relatively common diseases and are amenable to therapy, but with a potentially fatal outcome if untreated. The diagnosis can be made in most patients with the use of noninvasive imaging tests, but limitations exist. The standard first choice of investigation in patients with suspected DVT is compression ultrasonography (CUS). Pre-sonography evaluation, including clinical assessment of patient history and physical, Well’s Score and D-dimer assay, is important in clinical screening, as well as medical and interventional disease management. This course will provide attendees with details of advanced diagnostic protocols and interpretation and updates on medical and interventional disease management.

Target Audience

Cardiologists, Physician Assistants, Sonographers, Respiratory Therapists (Personal Growth), Nurses and Nurse Practitioners.

Learning Objectives

  • Recognize the prevalence of DVT and VTE in the United States.
  • Identify acquired and inherited risk factors and Virchow triad.
  • Define pre-sonography testing – Clinical examination, Wells Score and D-Dimer essay.
  • Optimize the use of duplex ultrasonography in the management of COVID-19 and DVT/VTE. 
  • Explain why LE duplex ultrasonography may not be the best diagnostic modality in the diagnosis of PE and examine its limitations.
  • Recognize the appropriate management for calf vein thrombosis.
  • Define ilio-femoral and femoro-popliteal DVT and explain their medical disease management.
  • Explain oral anticoagulation vs. systemic heparin.
     
Additional information
Bibliography: 
  • Galanaud, J. P., Sevestre, M. A., Genty, C., Laroche, J. P., Zizka, V., Quéré, I., & Bosson, J. L. (2010). Comparison of the clinical history of symptomatic isolated muscular calf vein thrombosis versus deep calf vein thrombosis. Journal of vascular surgery, 52(4), 932-938.
  • Masuda, E. M., Kistner, R. L., Musikasinthorn, C., Liquido, F., Geling, O., & He, Q. (2012). The controversy of managing calf vein thrombosis. Journal of vascular surgery, 55(2), 550-561.
  • Fronas, S. G., Wik, H. S., Dahm, A. E. A., Jørgensen, C. T., Gleditsch, J., Raouf, N., ... & Ghanima, W. (2018). Safety of D‐dimer testing as a stand‐alone test for the exclusion of deep vein thrombosis as compared with other strategies. Journal of Thrombosis and Haemostasis, 16(12), 2471-2481.
Course summary
Available credit: 
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 General certificate of attendance
  • 1.00 Nurse Practitioners
  • 1.00 Florida Board of Nursing
  • 1.00 Florida Board of Respiratory Therapy
Course opens: 
09/01/2020
Course expires: 
08/31/2021

Ian Del Conde, M.D., FACC
Director, Vascular Medicine
Associate Director, Cardiology
Miami Cardiac & Vascular Institute
Baptist Health South Florida
Miami, Florida 

Ian Del Conde, M.D., has indicated that he has no relevant commercial interest relationships, and that he will not include off-label or unapproved product usage in his presentation or discussion.

Elliott J. Elias, M.D., conference director, disclosed that he is a member of the speakers bureau for Abbott Laboratories, and he will not include off-label or unapproved product usage in his presentation or discussion.

Muhammad Hasan, moderator, has indicated that he has no relevant commercial relationships to disclose, and that his participation will not include discussion of off-label or unapproved product usage.

Brian J. Schiro, M.D., conference director, disclosed that he receives grant/research support from Medtronic and that he is a member of the speakers bureau for Penumbra and Sirtex. Dr. Schiro has also disclosed that his participation will include discussion of off-label or unapproved usage.

Non-faculty contributors and others involved in the planning, development and editing/review of the content have no relevant financial relationships to disclose.

Disclosure Policy and Disclaimer

Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Baptist Health has been re-surveyed by the ACCME and awarded Commendation for 6 years as a provider of CME for physicians.
              
Baptist Health South Florida designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Available Credit

  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 General certificate of attendance
  • 1.00 Nurse Practitioners
  • 1.00 Florida Board of Nursing
  • 1.00 Florida Board of Respiratory Therapy
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