Clinical inquiries: what's the best way to manage upper extremity venous thrombosis?

Barbara Jamieson, Clayton Rabens, Patricia Goodemote

Journal: The Journal of family practice 2010;59(8):465-6

PMID: 20714458

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Abstract

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.

Address: Eglin Family Medicine Residency, Eglin Air Force Base, FL, USA.

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MeSH Terms: Anticoagulants, Arm, Evidence-Based Medicine, Heparin, Heparin, Low-Molecular-Weight, Humans, Thrombectomy, Thrombolytic Therapy, Vena Cava Filters, Venous Thrombosis, Warfarin