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Cannula provoked upper extremity superficial vein thrombophlebitis: are we overtreating?
Hiu L A Yuen1,2, Wendy Fang1, Huyen Tran1,2
1Monash Haematology, Monash Health, Melbourne, Victoria, Australia.
Abstract:
Cannula 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.
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