No consensus exists for use of anticoagulation for calf vein thrombosis

被引：9

作者：

Anstadt, Michael J. ^{[1
]}

Robertson, T. Calloway ^{[2
]}

Milner, Ross ^{[3
]}

机构：

[1] Loyola Univ, Med Ctr, Dept Surg, Maywood, IL 60153 USA

[2] Loyola Univ Chicago, Stritch Sch Med, Maywood, IL 60153 USA

[3] Univ Chicago, Dept Surg, Chicago, IL 60637 USA

来源：

VASCULAR | 2014年 / 22卷 / 02期

关键词：

below-knee deep vein thrombosis; anticoagulation; calf vein thrombosis; DVT; CVT; DEEP VENOUS THROMBOSIS; FOLLOW-UP; ISOLATED GASTROCNEMIUS; NATURAL-HISTORY; SHORT-TERM; LOWER-LIMB; SOLEAL;

D O I：

10.1177/1708538112473967

中图分类号：

R6 [外科学];

学科分类号：

1002 ; 100210 ;

摘要：

The ideal treatment of calf vein thrombosis (CVT) remains undefined. We assessed practice patterns at a single institution for CVT. Physicians were sent an online survey with 8 multiple choice questions about management of CVT. A total of 99 physicians of varying specialties participated in the survey. A total of 48.5% anticoagulate patients with CVT and 51.5% do not. Of those who anticoagulate, 62.3% use low molecular weight heparin and 11% use IV heparin. Treatment duration is 3 months for 58% and 6 months for 30% of responders. Of those who do not anticoagulate, 71.2% reassess for clot propagation or resolution with a duplex exam. IVC filters are used by 46% when there is a contraindication to anticoagulation and 13.7% when clot propagation is noted on follow-up scan. These results suggest that there is no consensus treatment of CVT. There is a higher than expected rate of IVC filters placed for CVT.

引用

页码：93 / 97

页数：5

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