Patterns in the management of superficial vein thrombosis.

Abstract:

:Objective To highlight current practice patterns in management of superficial vein thrombosis. Methods An electronic survey was conducted using the mailing lists of the Mediterranean League of Angiology and Vascular Surgery and European Venous Forum regarding superficial vein thrombosis diagnosis, investigation, and treatment. Results The response rate was 41% (175/430) and the majority of the participants were vascular surgeons practicing in a hospital. More experienced physicians considered superficial vein thrombosis as a medical issue of moderate seriousness and performed duplex ultrasound for confirmation of diagnosis. Elastic stockings were recommended by 87% of the physicians, while 57% prescribed nonsteroidal anti-inflammatory drugs. Eighty six percent advised anticoagulation, although a large disparity was shown regarding regime, dose, and duration. Thrombophilia test was regularly suggested by 19% of the physicians. Ligation of the saphenofemoral junction was the treatment of choice by those who suggested intervention in the acute phase of superficial vein thrombosis. Conclusions A great disparity exists in the management of superficial vein thrombosis. Current guidelines have not been adopted by physicians; more focused training is needed for those involved in the management of venous diseases.

journal_name

Phlebology

journal_title

Phlebology

authors

Karathanos C,Spanos K,Lachanas V,Athanasoulas A,Giannoukas AD

doi

10.1177/0268355516641003

subject

Has Abstract

pub_date

2017-04-01 00:00:00

pages

207-213

issue

3

eissn

0268-3555

issn

1758-1125

pii

0268355516641003

journal_volume

32

pub_type

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