Antithrombotic Therapy for VTE Disease

ACCP VTE Therapy

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Treatment PTS of the Arm ÎIn patients who have PTS of the arm, the ACCP suggests a trial of compression bandages or sleeves to reduce symptoms (2-C). ÎIn patients with PTS of the arm, the ACCP suggests AGAINST treatment with venoactive medications (2-C). Splanchnic Vein Thrombosis ÎIn patients with symptomatic splanchnic vein thrombosis (portal, mesenteric, and/or splenic vein thromboses), the ACCP recommends anticoagulation over no anticoagulation (1-B). ÎIn patients with incidentally detected splanchnic vein thrombosis (portal, mesenteric, and/or splenic vein thromboses), the ACCP suggests NO anticoagulation over anticoagulation (2-C). Hepatic Vein Thrombosis ÎIn patients with symptomatic hepatic vein thrombosis, the ACCP suggests anticoagulation over no anticoagulation (2-C). ÎIn patients with incidentally detected hepatic vein thrombosis, the ACCP suggests NO anticoagulation over anticoagulation (2-C). Phases of Anticoagulation Initial (0 to ~7 days) Parenterala (~7 days to ~3 months) Long-Term (~3 months to indefinite) Extended Vitamin K antagonist or other agentb a Heparin, LMWH, fondaparinux b Includes LMWH, dabigatran, rivaroxaban 14

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