Thrombus

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Intravenous drug use, deep vein thrombosis and anticoagulation
Thrombus, Volume 13, Number 2.

Deep vein thrombosis (DVT) and pulmonary embolism (PE) can be triggered by a variety of risk factors. Using the iliofemoral vein by intravenous drug users is considered to be a significant cause. However, many anticoagulant service staff say intravenous drug users do not present with venous thromboembolism (VTE) to their service. It is thought the reason for this is that these patients do not continue with treatment and do not attend anticoagulant clinics. It is difficult for anticoagulant staff to share their experience of caring for these patients due to the small number attending each service. Also, there have not been any randomised, controlled trials of this group of patients and no grade A recommendations are available.

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