Venous thromboembolism, which includes deep-vein thrombosis(usually involving leg veins) and pulmonary embolism, is a commoncause of death. Treatment of affected patients reduces the incidenceof fatal pulmonary embolism, but therapy should be based onthe severity of disease and the potential for side effects.Decisions about the duration of therapy should be made by balancingthe risks of continuing therapy against the risk of recurrence.In this review, the care of patients with venous thromboembolismwill be discussed, with emphasis on recent advances.
Diagnosis
Approximately 75 percent of patients who present with suspectedvenous thrombosis or pulmonary embolism do . . . [Full Text of this Article]
Venous Thrombosis
Pulmonary Embolism
Thrombophilia
Treatment
Administration of Heparin
Calf-Vein Thrombosis
Resistance to Heparin
Low-Molecular-Weight Heparins
Oral Anticoagulant Therapy
Long-Term Management
Management of Complications
Bleeding
Immune Heparin-Induced Thrombocytopenia
Heparin-Induced Osteoporosis
Warfarin-Induced Skin Necrosis
Failure of Anticoagulation
The Post-Thrombotic Syndrome
Venous Thromboembolism during Pregnancy
Inferior Vena Caval Filters and Surgical Thrombectomy
Thrombolytic Therapy
Future Research
Source Information
From the Department of Medicine, Thromboembolism Service, McMaster University Medical Centre, 1200 Main St. W., HSC-3W11, Hamilton, ON L8N 3Z5, Canada, where reprint requests should be addressed to Dr. Ginsberg.
References
Related Letters:
Management of Venous Thromboembolism
Ibrahim B. S., Pechlaner C., Buratti T., Joannidis M., Rosendaal F. R., van der Meer F. J.M., Vandenbroucke J. P., Ginsberg J. S.
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N Engl J Med 1997;
336:1528-1529, May 22, 1997.
Correspondence
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