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Certaines references telles American Venous
Forum (http://www.venous-info.com/medpro/book/bk02.html
), suggere que lorsque le facteur de risque causal est retire, nous puissions
suivre les TPP avec doppler serie. Voila pourquoi j'ai specifie
idiopathique.
Voir l'algorithme ci-joint. L'AVF recommande
tout de meme l'anticoagulation pour la plus part des "isolated calf vein
thrombosis".
"In light of these data, it appears that treatment of patients with calf
vein thrombosis is indicated, especially if their thrombotic risk continues or
if the etiology of their deep venous thrombosis has not been defined and
eliminated (Fig.
14.1). Outpatients presenting with symptomatic calf deep venous thrombosis
and inpatients with ongoing thrombotic risk should benefit from 3 months of
anticoagulation. If not treated, patients should be monitored with venous duplex
imaging until the high-risk period has passed and patients return to full
ambulation. If extension into the proximal venous system is demonstrated,
patients must be re-evaluated for definitive treatment. "
Certaines autres references telles Sitxh ACCP
consensus on antithrombotic therapy paru dans Chest, Janvier 2001 ont une
approche differente:
Isolated symptomatic calf thrombosis =
Anticoagulate for > 6-12 weeks, if anticoagulation cannot be given, serial
noninvasive study over the next 10-14 days to assess for proximal
extension.
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