Superficial vein thrombosis – epidemiology, diagnostics, treatment

Česká verzia

Authors: J. Hirmerová
Authors place of work: II. interní klinika LF UK a FN Plzeň
Published in the journal: Kardiol Rev Int Med 2014, 16(4): 308-311
Category: Internal Medicine

Summary

Superficial vein thrombosis, previously more commonly known as superficial thrombophlebitis, in recent times is considered a form of venous thromboembolic disease. The risk factors largely overlap with the risk factors for deep vein thrombosis. Moreover, recent epidemiologic studies in patients with superficial vein thrombosis have revealed quite a high rate of concurrent or subsequent deep vein thrombosis or even pulmonary embolism. Ultrasound exam of both superficial and deep lower limb veins is recommended in the diagnostic process. Due to the disease heterogeneity and the lack of valid evidence, the guidelines for treatment are not unequivocal. Most authors are inclined to recommend anticoagulation – low‑ molecular‑ weight heparin or fondaparinux – but the intensity and duration of treatment are not clearly specified. So far, the approach to superficial vein thrombosis has been rather controversial and there is a need for further high‑quality studies to obtain valid data.

Keywords:
superficial vein thrombosis – deep vein thrombosis – risk factors – anticoagulation therapy

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