Should you treat an upper extremity deep venous thrombosis with anticoagulation?
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An upper extremity deep venous thrombosis (DVT) should be treated with low-molecular-weight heparin or unfractionated heparin acutely, and then with oral anticoagulation for at least 3 months. (SOR B, based on an evidence-based guideline with low-quality evidence.) Outcomes in patients managed in this way are similar to outcomes of patients with lower extremity DVTs managed with anticoagulation. (SOR B, based on a comparative cohort study.)
Evidence Based Practice 13(2): 10.