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Record W4415683548 · doi:10.3390/jcm14217668

New Horizons in Venous Thromboembolism Management: A Narrative Review

2025· review· en· W4415683548 on OpenAlexaff
Wassim Bedrouni, Mahdi Bedrouni, James D. Douketis

Bibliographic record

VenueJournal of Clinical Medicine · 2025
Typereview
Languageen
FieldMedicine
TopicVenous Thromboembolism Diagnosis and Management
Canadian institutionsSt. Joseph’s Healthcare HamiltonMcGill UniversityMcMaster University
Fundersnot available
KeywordsNarrative reviewVenous thromboembolismModalitiesNew horizonsGuidelineHarmReview articleMEDLINE

Abstract

fetched live from OpenAlex

Venous thromboembolism (VTE) remains a major cause of cardiovascular morbidity and mortality worldwide, and is a staple of daily clinical practice. While we have seen significant advancements in therapeutics over the last 20 years, several questions and controversies remain in the selection and duration of available therapies, as well as balancing the consequences of VTE and the bleeding risk imposed by treatment modalities. In recent years, new evidence based on randomized trials and registries have reshaped the therapeutic landscape. This narrative review synthesizes the latest advancements and future directions in VTE care, including recent guideline updates, new evidence pertaining to established pharmacologic therapy, risk stratification, interventional and procedural options, and special populations including the management of cancer-associated thrombosis, and the emerging promise of factor XI inhibition. In diagnostics, the field is moving beyond traditional methods with the investigation of novel biomarkers from proteomic and metabolomic studies and the clinical implementation of advanced imaging modalities like photon-counting CT, which offers superior resolution at lower radiation doses. Artificial intelligence is emerging as a transformative tool, potentially enhancing diagnostic accuracy in imaging. Ultimately, this review will assist clinicians in integrating evolving evidence with patient-centered decision-making to maximize benefit while minimizing harm and treating the diverse and common clinical problems of VTE.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.003
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.006
Threshold uncertainty score0.019

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0010.003
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0020.001
Bibliometrics0.0040.004
Science and technology studies0.0000.000
Scholarly communication0.0020.002
Open science0.0010.001
Research integrity0.0010.002
Insufficient payload (model declined to judge)0.0060.001

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.090
GPT teacher head0.495
Teacher spread0.404 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreReview

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations1
Published2025
Admission routes1
Has abstractyes

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