Clinical inquiries: what's the best way to manage upper extremity venous thrombosis?
Standard management is best: start with unfractionated heparin or low-molecular-weight heparin and follow with long-term therapy with a vitamin K antagonist. Some evidence supports thrombolytic therapy, placement of a superior vena cava filter, or surgical thrombectomy in selected patients. Whether to remove venous catheters during initial treatment for catheter-induced venous thrombosis remains unclear, because limited studies address this issue specifically.
Rabens
Clayton
C
Eglin Family Medicine Residency, Eglin Air Force Base, FL, USA.
Goodemote
Patricia
P
Jamieson
Barbara
B
D000925:Anticoagulants / Q000627:therapeutic use; D001132:Arm / Q000098:blood supply*; D019317:Evidence-Based Medicine; D006493:Heparin / Q000627:therapeutic use; D006495:Heparin, Low-Molecular-Weight / Q000627:therapeutic use; D006801:Humans; D017131:Thrombectomy; D015912:Thrombolytic Therapy / Q000379:methods; D016306:Vena Cava Filters; D020246:Venous Thrombosis / Q000209:etiology / Q000628:therapy*; D014859:Warfarin / Q000627:therapeutic use
D000925:Anticoagulants; D006495:Heparin, Low-Molecular-Weight; D014859:Warfarin; D006493:Heparin