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Treatment usually consists of NSAIDs, such as ibuprofen and local compression (e.g., by compression stockings or a compress). [7] If the phlebitis is associated with local bacterial infection, antibiotics may be used. [8] For acute infusion superficial thrombophlebitis, not enough evidence exists as of 2015 to determine treatment. [9]
If suspected, antibiotic treatment, surgical drainage, and potentially vein excision are indicated. [13] Venous thromboembolism can occur with superficial vein thrombosis. Estimates of the percentage of patients with SVT who also have DVT vary between 6% and 53%, and symptomatic pulmonary embolism has been reported in 0% to 10% of patients with ...
Thrombophlebitis is a phlebitis (inflammation of a vein) related to a thrombus (blood clot). [2] When it occurs repeatedly in different locations, it is known as thrombophlebitis migrans (migratory thrombophlebitis). [3]
Treatment options for PTS include proper leg elevation, compression therapy with elastic stockings, or electrostimulation devices, pharmacotherapy (pentoxifylline), herbal remedies (such as horse chestnut, rutosides), and wound care for leg ulcers. [1] [21] The benefits of compression bandages is unclear. They may be useful to treat edemas. [7]
Knee-high stockings are more comfortable, easier to apply, and wearing them increases patients' compliance with treatment. [22] Knee-high stockings are easier to size for limb measurement than thigh-high compression stockings. [9] Thigh-high compression stockings may create a tourniquet effect and cause localized restriction when rolled down. [23]
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Treatment is aimed at opening the blocked veins to minimize complications; the duration of clot (acute versus chronic) affects treatment. Unless there are underlying reasons why it would be harmful, anticoagulation ( low molecular weight heparin , followed by warfarin ) is often initiated and maintained in patients who do not have cirrhosis.
Chronic venous ulcers are painful and debilitating. Even with treatment, recurrences are common if venous hypertension persists. Nearly 60% develop phlebitis which often progresses to deep vein thrombosis in more than 50% of patients. The venous insufficiency can also lead to severe hemorrhage.