Phlebologie 2018; 47(06): 319-328
DOI: 10.12687/phleb2449-6-2018
Übersichtsarbeiten
Georg Thieme Verlag KG Stuttgart · New York

The lower leg vein thrombosis – a disease for specialists

Article in several languages: deutsch | English
J. Herold
1   Klinik für Gefäßmedizin – Angiologie, Gefäßzentrum, Klinikum Darmstadt GmbH, Darmstadt
,
R. Bauersachs
1   Klinik für Gefäßmedizin – Angiologie, Gefäßzentrum, Klinikum Darmstadt GmbH, Darmstadt
› Author Affiliations
Further Information

Publication History

Eingegangen: 30 June 2018

Angenommen: 02 July 2018

Publication Date:
03 January 2019 (online)

Summary

For patients with proximal deep vein thrombosis or pulmonary embolism, the initial treatment is well defined. However, there are conflicting recommendations from current guidelines when distal (calf) veins are thrombosed, ranging from surveillance without anticoagulation to full therapeutic anticoagulation for three months or even longer, as the dose and duration of the anticoagulant is not yet established due to sparse and contradicting evidence. This article is intended to critically review the available evidence and facilitate patient-specific treatment recommendations based on current studies, guidelines and expert opinion.