Article (Scientific journals)
Comment je traite... par anticoagulants la thrombose veineuse profonde des membres inferieurs apres la phase aigue.
GIRBEA, Alexandra; SPRYNGER, Muriel; MOONEN, Marie et al.
2020In Revue Médicale de Liège, 75 (4), p. 203-209
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Keywords :
Anticoagulants/administration & dosage; Drug Administration Schedule; Humans; Recurrence; Risk Factors; Time Factors; Venous Thromboembolism; Venous Thrombosis/drug therapy; Anticoagulant; Anticoagulation duration; Bleeding risk; Risk of recurrence; Venous thrombosis
Abstract :
[en] Treatment of lower-limb deep vein thrombosis comprises three phases : the initial phase that includes the first 5 to 21 days, the long-term phase that includes the following 3 to 6 months and a potential extended phase (indefinite duration). After 3 to 6 months of anticoagulation, the treatment must be re-evaluated. Full or reduced dosage or complete cessation of anticoagulants can be proposed according to the individual benefit-risk balance. Risk assessment of recurrence may be challenging in the case of unprovoked venous thrombosis. Similarly, risk assessment of bleeding may be difficult. Consequently, a personalized decision must be made and regularly reassessed. As far as possible, it should also take into account the patient's preferences and lifestyle (dangerous sports, sedentary lifestyle, drug adherence,...). Further studies are still needed in order to better assess the individual risks and adapt the treatment.
Disciplines :
Cardiovascular & respiratory systems
Author, co-author :
GIRBEA, Alexandra ;  Centre Hospitalier Universitaire de Liège - CHU > Département de médecine interne > Service de cardiologie
SPRYNGER, Muriel ;  Centre Hospitalier Universitaire de Liège - CHU > Département de médecine interne > Angéiologie
MOONEN, Marie ;  Centre Hospitalier Universitaire de Liège - CHU > Département de médecine interne > Cardiologie multidisciplinaire et prévention
Lancellotti, Patrizio  ;  Université de Liège - ULiège > Département des sciences cliniques > Cardiologie - Pathologie spéciale et réhabilitation
Language :
French
Title :
Comment je traite... par anticoagulants la thrombose veineuse profonde des membres inferieurs apres la phase aigue.
Alternative titles :
[en] How Itreat ... extended duration of anticoagulation in lower-limb deep venous thrombosis
Publication date :
2020
Journal title :
Revue Médicale de Liège
ISSN :
0370-629X
eISSN :
2566-1566
Publisher :
Université de Liège. Revue Médicale de Liège, Liège, Belgium
Volume :
75
Issue :
4
Pages :
203-209
Peer reviewed :
Peer reviewed
Available on ORBi :
since 09 July 2020

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