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. 2021 Oct 20;29(4):562–576. doi: 10.5606/tgkdc.dergisi.2021.22121

Recom-. G-9.

Recommendation Grade Level of evidence Key references
Anticoagulation is not recommended in isolated superficial vein thrombosis of <5 cm in lower extremity if there is no risk such as malignancy, thrombophilia, or proximity to the deep venous system. Not recommended (III) C Kakkos et al.[32]
In the lower extremity superficial vein thrombosis case, when acute inflammation and prothrombotic process improve, endovenous ablation procedures should be considered (>3 months). Strong recommendation (IIa) C Kakkos et al.[32]
Fondaparinux 2.5 mg or rivaroxaban 10 mg recommended if superficial vein thrombosis of the lower extremity is >3 cm from the deep vein and is >5 cm long Very strong recommendation (I) B Decousus et al.[57
Beyer-Westendorf et al.[56]
If the lower extremity superficial vein thrombosis is >3 cm from the deep vein and >5 cm in length, LMWH should be considered as an alternative. Strong recommendation (IIa) B Duffett et al.[55]
Nikolakopoulos et al.[58]
If the lower extremity superficial vein thrombosis is >3 cm from the deep vein and >5 cm in length, anticoagulation for 45 days is recommended. Very strong recommendation (I) B Decousus et al.[57]Beyer-Westendorf et al.[56]
Duffett et al.[55]
Therapeutic anticoagulation is recommended if the lower extremity superficial vein thrombosis is <3 cm from the deep vein. Very strong recommendation (I) C Kakkos et al.[32]
Three months of treatment may be considered in clinically or anatomically risky patients. Weak recommendation (IIb) C Nikolakopoulos et al.[58]
LMWH: Low molecular weight heparin.