Re: Ovarian vein thrombus

From: Bernard Cristalli (bcrist@club-internet.fr)
Tue Jul 22 15:54:53 1997


dahmd@gate.net wrote: >
> Fellow listgeeks:
>

CT > imaging revealed a thrombus along the entire left gonadal vein (about up
> to the renal vein) with the classic "target" lesion seen on CT.
>
> What's your opinion on how long to anticoagulate for, and has anyone
> used low molecular weight heparin for this situation? My "take" on the
> lack of controlled studies on this subject is that 1) it's reasonable to
> provide 5-7 days of heparinization with conversion to 3-6 months of
> coumadin. Perhaps it's worthwhile to check a CT to make sure it's
> resolved, but I have never done this, and 2) that enoxaparin is probably
> fine for this indication, but that it has not been reported. Any other
> advice/input?

--

Long term treatment. For main veins (int iliaca for instance) the treatment is supposed to last ... the life time. For the beginnig LMW heparin doesn't schock me, I did it sometimes.

--
Bernard Cristalli MD CNGOF
AIHP - ACCA
Paris - France
http://www.obgyn.net/corresp/cristalli.htm




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