Management of spontaneous SFJ/SPJ Acute thrombosis : a VASCULAB survey

Abstract

Aim: The acute superficial venous thrombosis(SVT) has
been considered a common and benign disease. However,
ascending thrombosis extending to Sapheno-femoral
junction or Sapheno-popliteal junction can become a very
dangerous conditon due to the possibility of thrombosis
propagation to deep venous network and pulmonary
embolism (PE).
There is a lack of consensus regarding the treatment of
SVT in SFJ and SPJ. Searching for an answer in literature we
could not find a consensus word. This paper tries to fill this
gap, analyzing the specialists preferences among the
different kinds of treatments currently available. Methods: Specialists all over the world have answered
a web survey regarding SVT management (Surgery,
anticoagulation, compression therapy, laboratory analysis
and others).
Answers are reported here in several tables and graphs.
Results: 51 Specialists have answered to almost all
questions. Depending on the extension of the thrombus,
the percentage of proposals for immediate surgery
decreased from 44 % in case of indwelling thrombi to 2%
in case of thrombi in side branches. The choice for
therapeutic anticoagulation varying from 82% in the first
case (indwelling) to 8% in the last one ( thrombi in the side
branches). Prophylactic anticoagulation increased from
15% (indwelling) to 52% in case of distal ones. No
anticoagulation was proposed by 4% (indwelling cases) to
44% (side branches cases). Most of the participants
proposed compression for 3 weeks to 3 months.
Conclusions: We reported here all kinds of current
treatments available in order to supply some
understanding on this issue. Well conducted studies are
needed to reach a better conclusion
We also believe that the main message of this work isthat
we are actually very far from a consensus word on this field.