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Thrombophlebitis Analyse

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Thrombophlebitis Analyse Treatment for superficial thrombophlebitis of the leg | Cochrane

Superficial thrombophlebitis ST is a relatively common inflammatory process associated with a blood clot thrombus that affects the superficial veins. Symptoms and signs include local pain, itching, tenderness, reddening of the skin, and hardening of the surrounding tissue. Treatment aims to relieve the local symptoms and to prevent the extension of the clot into a deep vein, ST recurrence, or the development of more serious events caused by VTE.

This review included 30 randomised controlled trials involving participants. Treatment ranged from subcutaneous injections of fondaparinux to low molecular weight heparin, unfractionated heparin, oral non-steroidal anti-inflammatory Thrombophlebitis Analyse NSAIDstopical treatment, and surgery. One large studyThrombophlebitis Analyse, accounting for half of the patients included Thrombophlebitis Analyse the reviewshowed that treatment with fondaparinux for 45 days was associated Thrombophlebitis Analyse a significant reduction in symptomatic VTE, Thrombophlebitis Analyse, ST extension, and recurrence of ST with no increase in bleeding relative to placebo.

Topical treatments relieved local symptoms but the trials did not report on progression to VTE. Surgical treatment and wearing elastic stockings were associated with a lower rate of VTE and progression of the ST compared with elastic stockings alone.

The methodological quality of most of the trials was poor. Fondaparinux appears to be an adequate treatment option in patients with ST. Further research is needed to assess the role of low molecular weight heparin or NSAIDs and to demonstrate the efficacyThrombophlebitis Analyse, if any, of oral treatments, Thrombophlebitis Analyse treatment, or surgery in terms of VTE and ST progression.

Prophylactic dose fondaparinux given for 45 days appears to be a valid therapeutic option for ST of the legs. The evidence on oral treatments, topical treatment, or surgery is too limited and does not inform clinical practice about the effects of these treatments in terms of VTE and ST progression, Thrombophlebitis Analyse.

Further research is needed to assess the role of the new oral direct thrombin and activated factor-X inhibitors, Thrombophlebitis Analyse, and NSAIDs; the optimal doses and duration of treatment; and whether a combination therapy may be more Thrombophlebitis Analyse than single treatment. Adequately designed and conducted studies are required to clarify the role of topical and surgical treatments.

The optimal treatment of superficial thrombophlebitis ST of the legs remains poorly defined. While improving or relieving the local painful symptoms, treatment should aim at preventing venous thromboembolism VTEwhich might complicate the natural history of ST.

This is Thrombophlebitis Analyse second update of a review first published in To assess the efficacy and safety of topical, aufgrund dessen, was trophischen Geschwüren erzeugt wird, and surgical treatments in patients presenting with ST of the legs.

We handsearched the reference lists of relevant papers and conference proceedings. Randomised controlled trials RCTs evaluating topical, medical, and surgical treatments for ST of the legs that included participants with a clinical diagnosis of ST of the legs or objective diagnosis of a thrombus in a superficial vein. Two authors assessed the trials for inclusion in the reviewextracted the dataand assessed the quality of the studies.

Data were independently extracted from the included studies and any disagreements resolved by consensus. We identified four additional trials patientsso this update considered 30 studies involving participants with ST of the legs.

Treatment ranged from fondaparinux, low molecular weight heparin LMWHThrombophlebitis Analyse, unfractionated heparin UFHnon-steroidal anti-inflammatory agents NSAIDstopical treatment, oral treatment, Thrombophlebitis Analyse, intramuscular treatment, and intravenous treatment to surgery. Only a minority of trials compared treatment with placebo rather than an alternative treatment, none evaluated the same treatment comparisons on the same study outcomes which precluded meta-analysisand many of the studies were small and of poor quality.

Overall, topical treatments improved local symptoms compared with placebo but Thrombophlebitis Analyse data were provided on the effects on VTE and ST extension.

Surgical treatment combined with elastic stockings was associated with a lower VTE rate and ST progression compared with elastic stockings alone. However, Thrombophlebitis Analyse, the majority of studies that compared different oral treatment, topical treatment, or surgery did not report VTE, ST progression, adverse events, or treatment side effects.

Treatment for superficial thrombophlebitis of the leg Superficial thrombophlebitis ST is a relatively common inflammatory process associated with a blood clot thrombus that affects the superficial veins. Data collection and analysis: You may also be Thrombophlebitis Analyse in: Treatment for superficial infusion thrombophlebitis of the upper extremity Routine invasive versus conservative strategies for unstable angina and non-ST elevation myocardial infarction in the stent era Heparin versus saline solution flushing for prevention of occlusion in central venous catheters in adults Surgery versus thrombolysis for initial management of acute limb ischaemia Intravenous naftidrofuryl for treating critical limb ischaemia.


Superficial thrombophlebitis (superficial venous thrombosis) | The BMJ Thrombophlebitis Analyse

Superficial thrombophlebitis is usually a benign, self limiting disease, but consideration should be given to specialist referral for duplex ultrasound imaging and further management.

Patients with limited below knee superficial thrombophlebitis Thrombophlebitis Analyse evidence of deep vein thrombosis can be safely managed in primary care with non-steroidal anti-inflammatory drugs and compression.

Patients with thrombosis near the saphenofemoral or saphenopopliteal junction should be considered for surgical ligation or anticoagulation. Surgery should be considered in those with persistent symptoms or evidence of thrombus propagation despite medical treatment.

Superficial thrombophlebitis increasingly being called superficial venous thrombosis is inflammation of the superficial veins associated with venous thrombosis.

Traditionally, Thrombophlebitis Analyse, it has been considered a benign, self limiting disease of the lower extremity. However, it can affect most superficial venous systems in the body and importantly can be associated with deep vein thrombosis and pulmonary embolism, Thrombophlebitis Analyse. Treatment is aimed at symptomatic control and prevention of these serious and potentially fatal complications.

Treatment options are variable and controversial. The incidence of superficial thrombophlebitis remains unclear but is Thrombophlebitis Analyse to be higher than that of deep vein thrombosis, which is estimated at about one per Superficial thrombophlebitis is a clinical diagnosis. On palpation, the vein is tender and hard.

Extensive limb swelling should raise the suspicion of deep vein thrombosis rather than superficial thrombophlebitis. Fig 1 Typical superficial thrombophlebitis within …. Skip to main content. This site uses cookies. More info Close By continuing to browse Thrombophlebitis Analyse site you are agreeing to our use of cookies, Thrombophlebitis Analyse.

Find out more here Close. Superficial thrombophlebitis superficial venous thrombosis. Article Related content Metrics Responses Peer review. J M Scriven mark, Thrombophlebitis Analyse.

The bottom line Superficial thrombophlebitis Fuß trophischen Geschwüren ICD-10-Code usually a benign, self limiting disease, but consideration should be given to specialist referral for duplex ultrasound imaging and further management Patients with limited below knee superficial thrombophlebitis without evidence of deep vein thrombosis can be safely managed in primary care with non-steroidal anti-inflammatory drugs and compression Patients with thrombosis near the saphenofemoral or saphenopopliteal junction should be considered for surgical ligation or anticoagulation Surgery should be considered in those with persistent symptoms or evidence of thrombus propagation despite medical treatment, Thrombophlebitis Analyse.

How common is superficial thrombophlebitis? How is it diagnosed? Personal subscribers sign in here:. Forgot your sign in details? Article Access Article access for 1 day.


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May 15,  · Superficial thrombophlebitis is a common inflammatory-thrombotic disorder in which a thrombus develops in a vein located near .
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