How would you manage superficial vein thrombosis that persists on imaging after treatment with full dose anticoagulation?
Thrombosis of the greater saphenous vein extending from SFJ to mid-calf, unchanged on follow-up Doppler imaging after 3 months of full dose rivaroxaban. The original thrombosis event was unprovoked.
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After initial anticoagulation for the acute setting, how would you manage persistent superficial vein thrombosis?
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1 Answer
Mednet MemberInvited Expert
Hematology · Medical University of South Carolina
Answered on · Updated on
This is a challenging yet instructive real-life case in clinical decision-making, highlighting variations in practice that often diverge from existing evidence.
Before answering let me make some assumptions:
- Duplex Ultrasound Findings: I assume that Duplex ultrasound did not reveal thrombus extension...
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