Cannula provoked upper extremity superficial vein thrombophlebitis: are we overtreating?

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 d...

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Autores principales: Yuen, Hiu L. A., Fang, Wendy, Tran, Huyen, Chunilal, Sanjeev D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons Australia, Ltd 2022
Materias:
Brief Communications
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9828520/
https://www.ncbi.nlm.nih.gov/pubmed/36326238
http://dx.doi.org/10.1111/imj.15951
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author Yuen, Hiu L. A.
Fang, Wendy
Tran, Huyen
Chunilal, Sanjeev D.
author_facet Yuen, Hiu L. A.
Fang, Wendy
Tran, Huyen
Chunilal, Sanjeev D.
author_sort Yuen, Hiu L. A.
collection PubMed
description 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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spelling pubmed-98285202023-01-10 Cannula provoked upper extremity superficial vein thrombophlebitis: are we overtreating? Yuen, Hiu L. A. Fang, Wendy Tran, Huyen Chunilal, Sanjeev D. Intern Med J Brief Communications 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. John Wiley & Sons Australia, Ltd 2022-11-03 2022-11 /pmc/articles/PMC9828520/ /pubmed/36326238 http://dx.doi.org/10.1111/imj.15951 Text en © 2022 The Authors. Internal Medicine Journal published by John Wiley & Sons Australia, Ltd on behalf of Royal Australasian College of Physicians. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Brief Communications
Yuen, Hiu L. A.
Fang, Wendy
Tran, Huyen
Chunilal, Sanjeev D.
Cannula provoked upper extremity superficial vein thrombophlebitis: are we overtreating?
title Cannula provoked upper extremity superficial vein thrombophlebitis: are we overtreating?
title_full Cannula provoked upper extremity superficial vein thrombophlebitis: are we overtreating?
title_fullStr Cannula provoked upper extremity superficial vein thrombophlebitis: are we overtreating?
title_full_unstemmed Cannula provoked upper extremity superficial vein thrombophlebitis: are we overtreating?
title_short Cannula provoked upper extremity superficial vein thrombophlebitis: are we overtreating?
title_sort cannula provoked upper extremity superficial vein thrombophlebitis: are we overtreating?
topic Brief Communications
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9828520/
https://www.ncbi.nlm.nih.gov/pubmed/36326238
http://dx.doi.org/10.1111/imj.15951
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