Thromboembolism in Patients with Cancer: A Practical Guide to Recurrent Events

Figures

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  Fig. 1.. Dynamics imaging with compression ultrasound (CUS). (A) Right lower extremity CUS showing extensive occlusive thrombus in the popliteal vein. (B) After four weeks CUS shows partial recanalization of the right popliteal vein. (C) CUS revealed an extension of the right popliteal deep vein thrombosis (DVT) with a new DVT in the right femoral vein.

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  Fig. 2.. Dynamics imaging with CUS and computed tomographic pulmonary angiography (CTPA). (A) CUS demonstrated DVT of the left popliteal and femoral veins. (B) CTPA showed segmental and sub-segmental thrombi in the right PA. (C) Control CUS detected subtotal recanalization without signs of new thrombosis, normal blood flow in the deep veins of both legs. TROMB, trombus; CUS, compression ultrasonography; CTPA, computed tomography pulmonary angiogram; DVT, deep venous thrombbosis; PA, pulmonary artery.

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  Fig. 3.. Dynamics imaging with CUS and CTPA. (A) CTPA showed a large saddle embolus in the bifurcation of the pulmonary trunk that extends to both PA. (B) CTPA showed non-resolved saddle embolus in PA bifurcation, thrombi in segmental and sub-segmental branches of both PA. (C) Lower-limb CUS showed slight recanalization and floating thrombus in 1 month FU. CUS, compression ultrasonography; CTPA, computed tomography pulmonary angiogram; PA, pulmonary artery; FU, follow-up.

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  Fig. 4.. Venous thromboembolism (VTE) treatment algorithm for anticoagulation in VTE recurrence or progression. CTPA, computed tomography pulmonary angiogram; VQ, ventilation/perfusion; LMWH, low-molecular-weight heparin; DOAC, direct oral anticoagulants; OD, once a day; BID, bis in die.