How I treat recurrent deep-vein thrombosis

被引：13

作者：

Kyrle, Paul A. ^{[1
,2
]}

机构：

[1] Med Univ Vienna, Dept Med 1, Waehringer Guertel 18-20, A-1090 Vienna, Austria

[2] Karl Landsteiner Inst Thrombosis Res, Vienna, Austria

来源：

BLOOD | 2016年 / 127卷 / 06期

关键词：

SYMPTOMATIC VENOUS THROMBOEMBOLISM; VITAMIN-K ANTAGONISTS; D-DIMER; COMPRESSION ULTRASONOGRAPHY; ANTICOAGULANT TREATMENT; ORAL ANTICOAGULANTS; LUPUS ANTICOAGULANT; PULMONARY-EMBOLISM; BLEEDING RISK; DURATION;

D O I：

10.1182/blood-2015-09-671297

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Deep-vein thrombosis (DVT) is regarded a chronic disease as it often recurs. DVT affects most frequently the lower limbs and hence DVT of the leg will be the focus of this article. Whereas algorithms were developed and validated for the diagnosis of a first DVT, no such well-defined strategies exist in the case of recurrence of DVT. Likewise, the scientific evidence regarding the treatment of recurrent DVT is sparse, in particular when it comes to deciding on the duration of anticoagulation. Two typical cases of recurrent DVT, one with an unprovoked DVT and one with DVT during anticoagulation, will be presented. Based on these two clinical scenarios, algorithms for the diagnosis and treatment of recurrent DVT will be put forward. The purpose of this article is to discuss strategies that can be applied in daily clinical practice by physicians who do not have access to means and measures available in specialized thrombosis centers.

引用

页码：696 / 702

页数：7

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