Management of upper extremity deep vein thrombosis in Occitanie: practice assessment.
J Med Vasc
; 45(5): 288-293, 2020 Sep.
Article
en En
| MEDLINE
| ID: mdl-32862987
ABSTRACT
BACKGROUND:
The incidence of upper extremity deep vein thrombosis (UEDVT) is increasing. Its management is sometimes complex and difficult due to its complications and the lack of strong recommendations. The aim was to describe the practice of vascular physicians in Occitanie region in the management of upper extremity deep vein thrombosis. MATERIAL ANDMETHODS:
We used a descriptive observational study in the form of a declarative survey by means of a questionnaire from April to May 2019 among vascular physicians.RESULTS:
Of the 142 physicians contacted, 84 responded, with a reply rate of 59.1%. The majority of physicians introduced low-molecular-weight heparin treatment (60.71%) and 29.76% direct oral anticoagulation after a diagnosis of UEDVT. Three months of anticoagulation was chosen by 69% of physicians against 27.4% for a duration of 6 months. Diagnostic work-up included biological risk factors, chest and/or cervical radiography and ultrasonography with dynamic maneuvers. Three quarters of doctors recommended venous compression. A control ultrasonography was performed for 67.86% of patients at one month and at the end of treatment. After the acute phase, 63% of physicians introduced direct oral anticoagulation and 11% recommended venous revascularization. DISCUSSION ANDCONCLUSIONS:
The mobilization of vascular physicians reflects their interest for this pathology. The management of UEDVT requires specific studies to address therapeutic modalities, the duration of anticoagulation or the place of venous compression in the acute phase.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Procedimientos Quirúrgicos Vasculares
/
Pautas de la Práctica en Medicina
/
Heparina de Bajo-Peso-Molecular
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Trombosis Venosa Profunda de la Extremidad Superior
/
Vendajes de Compresión
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Anticoagulantes
Tipo de estudio:
Guideline
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Adult
/
Humans
/
Male
/
Middle aged
País/Región como asunto:
Europa
Idioma:
En
Revista:
J Med Vasc
Año:
2020
Tipo del documento:
Article