NDLI: How I treat superficial venous thrombosis

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How I treat superficial venous thrombosis

Content Provider	Scilit
Author	Kitchens, Craig S.
Copyright Year	2011
Description	Thrombosis of superficial veins has long been regarded as a benign disorder. If patients with a clinical diagnosis of superficial venous thrombosis (SVT) are thoroughly evaluated, the degree and extent of thrombosis in patients with SVT are characteristically underestimated (∼ 75% of the time) and such patients have coexistence (∼ 25% of the time) of, and/or rapid progression (∼ 10% of the time) to, systemic venous thromboembolism (VTE). Pulmonary embolism (PE; ∼ 25% of the time) and death (∼ 1% of the time) occur. Contributory risk factors for SVT are the same for VTE. Treatment of patients' SVT with parenteral anticoagulants appears to be both efficacious and certainly safe. I regard most patients with a clinical diagnosis of SVT the same as those with VTEs. Systemic anticoagulant therapy of patients with a clinical diagnosis of SVT obviates extensive imaging and laboratory workup and may be cost effective while encompassing treatment of any unknown concomitant thromboses with only low risk for hemorrhage. This decision is especially clear in those patients with known hypercoagulability. Patients without clinical risk factors are at lower risk to develop VTE complications and might be those who can be simply observed.
Related Links	http://www.bloodjournal.org/content/bloodjournal/117/1/39.full.pdf
Ending Page	44
Page Count	6
Starting Page	39
DOI	10.1182/blood-2010-05-286690
Journal	Blood
Issue Number	1
Volume Number	117
Language	English
Publisher	American Society of Hematology
Publisher Date	2011-01-06
Access Restriction	Open
Subject Keyword	Hematology Clinical Diagnosis Svt Vte Treatment Thrombosis Systemic Anticoagulants Venous Superficial Efficacious Journal: Blood (Vol- 20, Issue- 1)
Content Type	Text
Resource Type	Article

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