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

The lower leg vein thrombosis – a disease for specialists

Artikel in mehreren Sprachen: 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
› Institutsangaben
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Publikationsverlauf

Eingegangen: 30. Juni 2018

Angenommen: 02. Juli 2018

Publikationsdatum:
03. Januar 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.