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Blood, 15 December 2008, Vol. 112, No. 13, pp. 4818-4823.
Prepublished online as a Blood First Edition Paper on September 19, 2008; DOI 10.1182/blood-2008-07-165969.


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HOW I TREAT

How I treat rare venous thromboses

Ida Martinelli1, Massimo Franchini2, and Pier Mannuccio Mannucci1

1 Angelo Bianchi Bonomi Hemophilia and Thrombosis Center, Department of Medicine and Medical Specialties, University of Milan and Instituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Maggiore Hospital, Mangiagalli and Regina Elena Foundation, Milan; and 2 Immunohematology and Transfusion Centre, Department of Pathology and Laboratory Medicine, University Hospital of Parma, Parma, Italy

Venous thromboembolism may involve venous sites other than the lower limbs, such as cerebral, splanchnic, and upper limb veins. Although uncommon, these thromboses may be clinically severe and challenging for caregivers. In this review, the main pathogenic, clinical, and therapeutic features of thromboses in rare venous sites are discussed. Even though there was a lot of recent progress in understanding the mechanistic role of inherited and acquired thrombophilia and of the interactions between different risk factors, the optimal management of these patients is still unsettled, being currently based on the consensus of experts due to the lack of randomized trials. The implementation of large interdisciplinary registries is a necessary weapon to optimize the treatment of rare venous diseases.


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L. Spahr, F. Boehlen, P. de Moerloose, and A. Hadengue
Anticoagulants in portal vein thrombosis: don't be so shy!
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