Chronic Thrombotic Venous Disease

Chronic thrombotic venous disease of the legs increases the risk of pulmonary emboli; however, there is insufficient research to confirm the level of risk. As a medical examiner, you must evaluate on a case-by-case basis to determine if the driver meets cardiovascular requirements.

Waiting period

No recommended time frame

You should not certify the driver until etiology is confirmed and treatment has been shown to be adequate/effective, safe, and stable.

Decision

Maximum certification period — 2 years

Recommend to certify if:

The driver has no symptoms.

Recommend not to certify if:

As the medical examiner, you believe that the nature and severity of the medical condition of the driver endangers the health and safety of the driver and the public.

Monitoring/Testing

You may on a case-by-case basis obtain additional tests and/or consultation to adequately assess driver medical fitness for duty.

Follow-up

The driver should have a biennial medical examination.

Venous Disease Recommendation Table (PDF)