Diagnóstico y tratamiento de la trombosis venosa profunda
Keywords: 
Deep-vein thrombosis
Low-molecular-weight heparin
Ultrasonography
Fondaparinux
D-dimer
Issue Date: 
2007
Publisher: 
Ediciones Universidad de Navarra
ISSN: 
0556-6177
Citation: 
Paramo JA, de Gaona ER, Garcia R, Rodriguez P, Lecumberri R. Diagnóstico y tratamiento de la trombosis venosa profunda. Rev Med Univ Navarra 2007 Jan-Mar;51(1):13-17.
Abstract
Deep-vein thrombosis (DVT) is a common condition that can lead to complications such as postphlebitic syndrome, pulmonary embolism and death. Currently, an algorithm strategy combining pretest probability, D-dimer testing and compression ultrasonography imaging allows for safe and convenient estimation of suspected lower-limb thrombosis. The mainstay of treatment is anticoagulation therapy. The use of low-molecular-weight heparin or pentasaccharide (fondaparinux) allows for outpatient management of most patients with DVT. The duration of anticoagulation depends on whether the primary event was idiopathic or secondary to a transient risk factor. Interventions such as thrombolysis and placement of inferior vena cava filter are reserved for special situations.

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