JAMA Clinical Reviews Superficial Vein Thrombosis
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Sep 15, 2025 In this discussion, Behnood Bikdeli, a cardiologist at Brigham and Women’s Hospital, delves into the complexities of superficial vein thrombosis (SuVT). He outlines the pathophysiology, risk factors, and crucial symptoms associated with the condition. Bikdeli emphasizes the significance of Doppler ultrasound in diagnosis and the potential transition to deep vein thrombosis. Treatment strategies, including the use of warm compresses and the selective application of anticoagulation, are also thoroughly explored, highlighting tailored approaches for high-risk patients.
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SuVT Is Locally Painful And Systemically Relevant
- Superficial vein thrombosis (SuVT) is a clot in superficial veins that causes local symptoms and may mark risk for more serious thromboembolism.
- Treating SuVT can both relieve symptoms and potentially prevent progression to deep vein thrombosis or pulmonary embolism.
Recognize Typical SuVT Symptoms And Triggers
- Expect pain, local tenderness, and sometimes a palpable cord with SuVT.
- Look for triggers: upper-extremity events often follow IV catheters and lower-extremity events often occur with varicose veins.
Minimize Catheter Size And Length
- Use shorter, smaller-caliber and shorter-length catheters to reduce risk of upper-extremity SuVT.
- Bigger or longer catheters partially obstruct flow and damage endothelium, increasing clot risk.