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Updated: Jan 4, 2026

Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis
Published on: February 10, 2023
[Antithrombotic therapy in lower extremity arterial disease]
Michele Franzese1, Enrico Coscioni2, Martina Scalise1
1Dipartimento di Scienze Biomediche Avanzate, A.O.U. "Federico II", Napoli.
Antithrombotic therapy is crucial for patients with lower extremity arterial disease (LEAD) to prevent cardiovascular events. Recent evidence supports the use of antiplatelets and anticoagulants in LEAD management, addressing historical underprescription.
Area of Science:
- Vascular Medicine
- Cardiology
- Pharmacology
Background:
- Lower extremity arterial disease (LEAD) impacts over 200 million globally, causing significant morbidity and disability.
- Current treatment often involves inadequate antithrombotic agent prescription, despite recommendations for cardiovascular event prevention.
Purpose of the Study:
- To review and summarize existing scientific evidence supporting antithrombotic agent use in patients with LEAD.
- To address the historical underutilization of antithrombotic therapies in this patient population.
Main Methods:
- Systematic review of recent clinical trials and scientific literature.
- Analysis of data on antiplatelet and anticoagulant efficacy in LEAD patients.
Main Results:
- Recent clinical trial data increasingly support the efficacy of antithrombotic drugs in managing LEAD.
- Evidence indicates that appropriate antithrombotic therapy can reduce adverse cardiovascular events in LEAD patients.
Conclusions:
- Antithrombotic therapy, including antiplatelets and anticoagulants, is supported by current evidence for patients with LEAD.
- Improved prescription of these agents is warranted to optimize outcomes and reduce complications in lower extremity arterial disease.
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