Management assessment of superficial venous thrombophlebitis in lower limb

Authors

  • Ahmed Alhussein Tishreen University
  • Houssam Kinjo Tishreen University

Abstract

Background: Optimal doses and duration of anticoagulants or non‐steroidal anti‐inflammatory drugs (NSAIDs) for the treatment of superficial vein thrombosis (SVT) are still uncertain.

Objectives: To compare the efficacy and safety of therapuetic dose of rivaroxaban, prophylactic dose of rivaroxaban  and oral non-steroidal anti-inflammatory drugs (Etorecoxib) for acute lower limb SVT.

Patients and methods: Inpatients and Outpatients with at least a 5-cm-long acute SVT of long or short saphenous veins or their collaterals were randomized to receive rivaroxaban either 10 mg  once daily for a mounth (group A)  or 20 mg  once daily for a mounth (group B)  or 90 mg etorecoxib once daily for a mounth (group C), in a double-blind fashion. The main outcome measure was to compare the rate of recurrence or extension of SVT (symptomatic and asymptomatic), DVT (symptomatic and asymptomatic), PE (symptomatic) and reduction in pain during a 3-month follow-up period. The main safety measure was death or major hemorrhage.

Results: Among 76 patients, the main complications occurred in 3/24 (12.5%), 4/27 (14.8%) and 4/25 (16%) subjects in groups (group A), (group B)  and (group C), respectively. (group A) vs. (group B): P>0.05; (group A) or (group B) vs. (group C): P<0.05. During the 3-month follow-up period, the event rate was similar in all groups. No death or major hemorrhage occurred during the study.

Conclusions: A therapuetic dose or prophylactic dose of rivaroxaban is superior to oral non-steroidal anti-inflammatory drugs (Etorecoxib) for acute lower limb SVT during a mounth treatment period with similar results for a 3-month follow-up period.

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Published

2024-08-22

How to Cite

1.
الحسين ا, حسام كنجو. Management assessment of superficial venous thrombophlebitis in lower limb . Tuj-hlth [Internet]. 2024Aug.22 [cited 2024Sep.1];46(3):351-64. Available from: https://journal.tishreen.edu.sy/index.php/hlthscnc/article/view/17397

Issue

Vol. 46 No. 3 (2024): Tishreen University Journal for Research and Scientific Studies - Health Sciences Series

Section

Master student researches

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