Venous Thromboembolism (DVT & PE)
Also: VTE · DVT · pulmonary embolism · blood clot
Venous thromboembolism covers deep vein thrombosis (DVT) and pulmonary embolism (PE). The clinical task is to estimate pre-test probability, choose the right test (D-dimer vs imaging), assess severity, and decide on anticoagulation and prophylaxis.
Below are the Wells, PERC, PESI and VTE-risk scores, the anticoagulants, and the relevant pathways.
Calculators & scores
- Wells Criteria for PEVenous Thromboembolism
- Wells DVT ScoreVenous Thromboembolism
- Wells Criteria for DVTVenous Thromboembolism
- PERC Rule for PEVenous Thromboembolism
- Caprini Score for VTE Risk in Surgical PatientsVenous Thromboembolism
- Padua Prediction Score for VTE Risk in Medical InpatientsVenous Thromboembolism
- Revised Geneva Score for Pulmonary EmbolismVenous Thromboembolism
- Padua Prediction Score (VTE Risk)VTE Prevention
- Caprini VTE Risk AssessmentVenous Thromboembolism
- Padua Prediction Score for VTE ProphylaxisThrombosis
- Padua Prediction Score for VTE RiskVTE Risk
- Wells' Criteria for Pulmonary EmbolismPulmonary Embolism
- Hamilton Score for DVT Clinical ProbabilityDeep Vein Thrombosis
- Age-Adjusted D-dimer Threshold for VTEVTE Diagnosis
Decision pathways
- Pulmonary Embolism AssessmentNICE NG158; ESC 2019 PE Guidelines
- Deep Vein Thrombosis Diagnosis and TreatmentNICE CG144 / NICE NG158
- VTE in PregnancyRCOG GTG 37a 2015
- DVT Diagnosis + TreatmentNICE NG158
- Acute Pulmonary EmbolismBTS 2003 / ESC 2019
- Bariatric Surgery ComplicationsBOMSS; ASMBS
- Surgical VTE ProphylaxisNICE NG89 (2018)
Drugs
- WarfarinAnticoagulant
- ApixabanAnticoagulant
- Enoxaparin (LMWH)Anticoagulant
- Unfractionated Heparin (ACS / PCI)Anticoagulant / ACS / PCI
- Alteplase (STEMI Thrombolysis)Thrombolytic / STEMI
- Edoxaban (AF / VTE)Direct Oral Anticoagulant / AF
- Rivaroxaban (AF / ACS)Direct Oral Anticoagulant / AF / ACS
- Protamine Sulphate (Heparin Reversal)Heparin Reversal / Cardiac Surgery
- AlteplaseRecombinant Tissue Plasminogen Activator (Thrombolytic)
- Alteplase (tPA)Thrombolytic — Ischaemic Stroke / Massive PE
- Unfractionated Heparin (IV)Anticoagulant — ACS / PE / Thrombus
- RivaroxabanDirect oral anticoagulant (DOAC) — Factor Xa inhibitor
Decision support only. These tools are aggregated by topic to aid navigation — always apply clinical judgement and the relevant national or local guideline.