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Current management of isolated soleal and gastrocnemius vein thrombosis

Ali Elfandi1, Sharen Anghel1, Clifford Sales2

  • 1Department of Medicine, Overlook Medical Center, Summit, NJ.

Journal of Vascular Surgery. Venous and Lymphatic Disorders
|March 20, 2016
PubMed

Insights

Soleal and gastrocnemius vein thrombi lack clear treatment guidelines. Current literature review highlights the confusion surrounding optimal management for these deep vein thrombi.

Area of Science:

  • Vascular Medicine
  • Thrombosis Research

Background:

  • Soleal and gastrocnemius vein thrombi are deep vein thrombi but their natural history is poorly understood.
  • Current treatment strategies, including anticoagulation and watchful waiting, lack robust scientific evidence.

Purpose of the Study:

  • To review the existing literature on soleal and gastrocnemius vein thrombi.
  • To highlight the conflicting opinions and data regarding their management.

Main Methods:

  • Literature review of studies discussing soleal and gastrocnemius vein thrombi.
  • Analysis of differing treatment suggestions and supporting evidence.

Main Results:

  • Incomplete characterization of soleal and gastrocnemius vein thrombi.
  • Lack of consensus on appropriate treatment algorithms.
  • Conflicting data regarding propagation and embolization potential.

Conclusions:

  • There is a significant need for further research to establish evidence-based treatment guidelines.
  • The optimal management strategy for these specific deep vein thrombi remains uncertain.

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