How would you manage superficial vein thrombosis that persists on imaging after treatment with full dose anticoagulation?
Thrombosis of the greater saphenous vein extending from SFJ to mid-calf, unchanged on follow-up Doppler imaging after 3 months of full dose rivaroxaban. The original thrombosis event was unprovoked.
Answer from: Medical Oncologist at Community Practice
This is a challenging yet instructive real-life case in clinical decision-making, highlighting variations in practice that often diverge from existing evidence.Before answering let me make some assumptions:
Duplex Ultrasound Findings: I assume that Duplex ultrasound did not reveal thrombus extensio...