Journal
INTERNAL MEDICINE JOURNAL
Volume 52, Issue 11, Pages 1995-1997Publisher
WILEY
DOI: 10.1111/imj.15951
Keywords
thrombophlebitis; cannula; venous thrombosis
Categories
Funding
- Australian Government
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This study found that anticoagulation is unnecessary for most UESVT patients, especially those without cancer.
Cannula provoked upper extremity superficial vein thrombophlebitis (UESVT) is common. Retrospective audit of 93 consecutive patients, 51% male, median age 57 years (range 20-91), with symptomatic UESVT revealed varied management including symptomatic management (37%), prophylactic (37%) and higher dose anticoagulation (27%). There was 2% (95% confidence interval (CI) 0-7.6) thrombus extension and 1% (95% CI 0-5.9) major bleeding, both limited to cancer. We argue anticoagulation is unnecessary in most UESVT patients.
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