[Treatment of deep vein thrombosis in the leg and pelvis].
The most important step for the treatment of deep vein thrombosis in the leg and pelvis is the immediate and sufficient anticoagulation by subcutaneous application of low-molecular-weight heparins or fondaparinux. Prevention of a relapse can be achieved by subsequent oral anticoagulation with vitamin K antagonists, whereas treatment duration is based on localisation of the thrombus and underlying risk factors. Immediate mobilisation of the patient is a fundamental step. Treatment with a compression bandage and subsequent use of compression stockings is a further effective step in reducing pain and swelling, preventing pulmonary embolism and a postthrombotic syndrome (PTS).
Hach-Wunderle
Viola
V
Gefässzentrum-Angiologie, Steinbacher Hohl 2-26, 60488 Frankfurt am Main. Hach-Wunderle@t-online.de
D000925:Anticoagulants / Q000627:therapeutic use*; D004434:Early Ambulation; D006801:Humans; D007866:Leg / Q000098:blood supply*; D010388:Pelvis / Q000098:blood supply*; D012039:Regional Blood Flow / Q000502:physiology; D055502:Secondary Prevention; D017131:Thrombectomy; D015912:Thrombolytic Therapy; D020246:Venous Thrombosis / Q000188:drug therapy* / Q000517:prevention & control / Q000628:therapy*
D000925:Anticoagulants