Volumen: 19 # Number : Suplemento
Publication Date : Octubre Year: 2015
Update in the treatment of venous thromboembolism
Authors: Sam Schulman
Abstract: The treatment of venous thromboembolism has today
reached a high degree of simplification with
outpatient management, often with oral treatment
only. There is still uncertainty regarding the patients
with more extensive venous thromboembolism
and possible thrombolytic or pharmacomechanic
therapy. Indefinite duration of anticoagulation will
dramatically reduce the risk of recurrence after unprovoked
thromboembolism but has had limited
acceptance. With the newer oral anticoagulants that
provide a lower risk of bleeding, particularly intracranial
haemorrhage, together with convenience we
should see more patients continuing secondary prophylaxis
very long-term. Large clinical trials with
negative results have recently been published on the
use of compression stockings and on extensive cancer
screening.
Key words: deep vein thrombosis,
pulmonary embolism,
anticoagulation.
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