A patient with deep vein thrombosis under oral anticoagulants and INR of 2.9 wants to travel. How soon can he fly after a DVT?
I believe they can travel as long as there is no visible thrombus by Doppler or USG. It is the immobility during the flight that should be avoided, plus dehydration. compression stockings may be worn too. Another option is to have an IVC filter inserted...
Dear colleagues, I am looking forward for more answers (especially from experts) on this topic.
I do not have much knowledge about clopidogrel action, mechanism to accomplish emboli staz. There was staz in the spleen that can be cause of an emboli, it cures. But I see chromosomal shape on the body of the patient after usage.
Is the DVT proximal or distal? I think it is important to decide the risks of travel. And, how long is the travel?
To emphasize that this pathology, it is an absolute contraindication for the flight for the risk of pulmonary embolism until the sharp phase is overcome, and the thrombosis has been solved. This will be necessary to verify it by means of the accomplishment of the pertinent tests.
Highly recommended reading it
http://www.asma.org/asma/media/asma/Travel-Publications/medguid.pdf
Dear Luis,
Many thanks for sending me these guidelines. However, these guidelines did not answer my question.
Twenty days after starting anti-coagulation, and under pressure of the patient's family, we allowed the patient to travel to Germany to continue her treatment their. As the trip last for 7 hours, we repeated lower limb Doppler; it showed partial re-canalization. The patient was on warfarin and the INR was 2.9. We advised the patient to be in the business class to rise her leg during the trip. also we advised her to drink much water. on the next day, we received a message from the family that the patient arrived safely to German.
Because of efervesan effect in German, perhaps it can be used of water drinking in recovery truncate, but in another country, drinking water may not be safe. Drinking water because of heart insuffiency or diabetes mellitus following?
To my knowledge, there are no good data available to address this issue. We send most patients with acute DVT (many of whom have concomitant PE) home from the ER with LMWH therapy. Warfarin with a target INR of 2.5 (range 2.0-3.0) is highly effective in prevention of PE and recurrent DVT in a wide variety of thrombophilic conditions/situations. Unless she has metastatic cancer, rendering her highly susceptible to recurrence or has a very high risk of bleeding and needs 24 hour observation, I would not think twice about letting her fly.
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