{"id":4455,"date":"2022-05-03T11:47:20","date_gmt":"2022-05-03T10:47:20","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/superficialthrombophlebitis\/"},"modified":"2023-08-31T14:39:29","modified_gmt":"2023-08-31T13:39:29","slug":"superficialthrombophlebitis","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/haematology\/superficialthrombophlebitis\/","title":{"rendered":"Superficial Thrombophlebitis (SVT)"},"content":{"rendered":"\n<title>Superficial Thrombophlebitis (SVT)<\/title>\n\n\n\n<p class=\"wp-block-paragraph\">The most commonly affected superficial veins are the long (great) and short saphenous veins of the leg. Referral for investigation should not normally be necessary for a short segment of below knee SVT unless concomitant deep vein thrombosis (DVT) is suspected. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Patients referred for suspected DVT should be assessed in the usual way for an underlying DVT; if during this investigation the SVT is adjacent to (within 3 cm of ) the saphenofemoral junction (SFJ) then therapeutic anticoagulation is required for a 3 month period as there is a high risk of progression to DVT.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Otherwise SVT is a benign and self-limiting condition and in the past has been treated with non-steroidal anti-inflammatory drugs (NSAIDs). Although reasonable for mild cases, it has become recognised that for more symptomatic cases there is a better response to anticoagulation.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">It is suggested that mild SVT (&lt;5cm in length) can be treated with NSAIDs. <em>(Update 21\/09\/18)<\/em> If there is no improvement after a week, then it may be better to switch to prophylactic dose dalteparin (5000 units SC daily) for 4 weeks.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If more than 5cm in length may be better treated with low molecular weight heparin for 6 weeks; In NHS Lothian it is advised to prescribe a treatment dose of dalteparin (200 units\/Kg subcutaneously daily) for 6 weeks duration. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Compression therapies. <\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Patients should be examined for foot pulses and, if present, patients may be offered Class 1 compression stockings, which may help symptoms. Patients without detectable foot pulses do not need compression. ABPI measurement&nbsp; is&nbsp; not required.<\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p class=\"wp-block-paragraph\"><strong>Patients with two or more episodes of thrombophlebitis of the proximal long or short saphenous veins should be referred to the Vascular Service electively.<\/strong><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Superficial Thrombophlebitis (SVT) The most commonly affected superficial veins are the long (great) and short saphenous veins of the leg. Referral for investigation should not normally be necessary for a short segment of below knee SVT unless concomitant deep vein thrombosis (DVT) is suspected. Patients referred for suspected DVT should be assessed in the usual<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":3981,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_searchwp_excluded":"","footnotes":""},"categories":[273],"class_list":["post-4455","page","type-page","status-publish","hentry","category-superficialthrombophlebitis"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/haematology\/superficialthrombophlebitis\/\" rel=\"tag\">Superficial Thrombophlebitis<\/a>","rttpg_excerpt":"Superficial Thrombophlebitis (SVT) The most commonly affected superficial veins are the long (great) and short saphenous veins of the leg. Referral for investigation should not normally be necessary for a short segment of below knee SVT unless concomitant deep vein thrombosis (DVT) is suspected. Patients referred for suspected DVT should be assessed in the usual","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4455","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=4455"}],"version-history":[{"count":3,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4455\/revisions"}],"predecessor-version":[{"id":11759,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4455\/revisions\/11759"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3981"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=4455"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=4455"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}