title: A current approach to superficial vein thrombosis.
abstract: Superficial vein thrombosis (SVT) is an entity commonly encountered in practice. While the clinical diagnosis is reasonably straightforward, care must be taken to exclude concurrent thrombosis of the deep veins, and the possibility of the presence of occult systemic illness such as malignancy should be considered. Recent studies of the epidemiology of SVT demonstrate a high incidence of concurrent deep vein thrombosis emphasizing the need for surveying the deep veins using compression ultrasonography. Treatment decisions are may now be based upon the results of randomized clinical trials and should include a period of anticoagulation using fondaparinux or a low molecular weight heparin. The appropriate doses and duration of therapy are not fully established, and the cost-effectiveness of these drugs for the treatment of SVT needs further evaluation.
authors.affiliation: Hematology Institute, Meir Medical Center, Kfar Saba, Israel. martinel@clalit.org.il
authors.forename: Martin H
authors.initials: MH
authors.lastname: Ellis
authors.forename: Simone
authors.initials: S
authors.lastname: Fajer
mesh_terms: D006801:Humans; D015994:Incidence; D009369:Neoplasms / Q000150:complications / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000628:therapy; D016032:Randomized Controlled Trials as Topic; D014463:Ultrasonography; D020246:Venous Thrombosis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000209:etiology