Cannula provoked upper extremity superficial vein thrombophlebitis: are we overtreating?. Issue 11 (3rd November 2022)

• Record Type: Journal Article
• Authors: Yuen, Hiu L. A.; Fang, Wendy; Tran, Huyen; Chunilal, Sanjeev D.
• Is Part Of: Internal medicine journal. Volume 52:Issue 11(2022)
• Page Start: 1995
• Page End: 1997
• Publication Date: 2022-11-03
• Subjects: thrombophlebitis -- cannula -- venous thrombosis; Medicine -- Periodicals; 616
• DOI: 10.1111/imj.15951
• Languages: English
• ISSNs: 1444-0903

Abstract

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.