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Internal medicine journal · Nov 2022
Cannula provoked upper extremity superficial vein thrombophlebitis: are we overtreating?
- Hiu L A Yuen, Wendy Fang, Huyen Tran, and Sanjeev D Chunilal.
- Monash Haematology, Monash Health, Melbourne, Victoria, Australia.
- Intern Med J. 2022 Nov 1; 52 (11): 199519971995-1997.
AbstractCannula 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.© 2022 The Authors. Internal Medicine Journal published by John Wiley & Sons Australia, Ltd on behalf of Royal Australasian College of Physicians.
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