pathology | Demonstrated benefit and harm | k | | | |
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superficial thrombophlebitis | versus antithrombotics No demonstrated result for efficacy | 4 trials | meta-analysis | | Trial | control | p<0.05 | harm | NS |
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Gorski, 2005 | heparin spraygel vs clexane | | | | Katzenschlager, 2003 | liposomal heparin-spraygel vs enoxaparin | | | | Marchiori, 2002 | heparin vs low dose UFH | | | | Belcaro (hep vs defibrotide), 1990 | heparin vs | | | |
Trial | Treatments | Patients | Method |
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Gorski, 2005 | Topical liposomal heparin spraygel (4 puffs of 458 IU three times daily) (n=-9) vs. clexane (40 mg once daily) (n=-9) | patients with symptomatic superficial venous thrombosis confirmed by ultrasonography with first
symptoms not earlier than 72 hours | Sample size: -9/-9 Primary endpoint: FU duration: | Katzenschlager, 2003 | Topical liposomal heparin-spraygel (lipohep 2400 IU/g, 4 spray puffs three times daily) for 7-14 days (n=-9) vs. enoxaparin (40 mg s.c.) for 7-14 days (n=-9) | with ST diagosed by ultrasound with signs and symptoms lasting less than 72 hoursdaily)o | Sample size: -9/-9 Primary endpoint: FU duration: | Marchiori, 2002 | UFH (s.c. 12500 IU for one week then 10000 IU) for 4 weeks (n=-9) vs. UFH (5000 IU) (n=-9) | patients with ST of the great saphenous vein | Sample size: -9/-9 Primary endpoint: FU duration: | Belcaro (hep vs defibrotide), 1990 | (n=-9) vs. (n=-9) | | Sample size: -9/-9 Primary endpoint: FU duration: |
|
superficial thrombophlebitis | versus placebo or control No demonstrated result for efficacy | 1 trial | meta-analysis | | Trial | control | p<0.05 | harm | NS |
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Belcaro (hep vs no hep), 1989 | heparin vs no treatment | | | |
Trial | Treatments | Patients | Method |
---|
Belcaro (hep vs no hep), 1989 | (n=-9) vs. (n=-9) | | Sample size: -9/-9 Primary endpoint: FU duration: |
|
venous thrombosis | versus No demonstrated result for efficacy subcutaneous heparin inferior to intravenous heparin in terms of extension or recurrence of VTE in Hull, 1986 | 10 trials | meta-analysis | | Trial | control | p<0.05 | harm | NS |
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Schweizer tPA, 1998 | tPA+heparin vs no fibrinolysis | | | Bleeding (early) ∞ [NaN; ∞] Complete clot lysis (late) 1.25 [0.61; 2.56] Post-thrombotic syndrome (late) 0.82 [0.56; 1.21] Leg ulceration (late) 2.00 [0.20; 20.49] Stroke/intracerebral bleeding (eraly) NaN [NaN; NaN] | Nielsen importé, 1994 | heparin+phenprocoumon vs phenylbutazone | | | | Krahenbuhl, 1979 | subcutaneous heparin vs intravenous heparin | | | | Bentley, 1980 | subcutaneous heparin vs intravenous heparin | extension or recurrence of VTE 0.10 [0.01; 0.75] | | major hemorrhage 0.25 [0.03; 2.16] | Andersson, 1982 | subcutaneous heparin vs intravenous heparin | | | | Hull, 1986 | subcutaneous heparin vs intravenous heparin | | extension or recurrence of VTE 3.73 [1.10; 12.68] | major hemorrhage 1.02 [0.15; 6.98] | Doyle, 1987 | subcutaneous heparin vs intravenous heparin | | | major hemorrhage 2.04 [0.39; 10.65] extension or recurrence of VTE 1.02 [0.31; 3.31] | Walker, 1987 | subcutaneous heparin vs intravenous heparin | extension or recurrence of VTE 0.15 [0.04; 0.65] | | major hemorrhage 1.00 [0.15; 6.82] | Lopaciuk | subcutaneous heparin vs intravenous heparin | | | major hemorrhage 1.92 [0.18; 20.43] extension or recurrence of VTE 0.27 [0.06; 1.25] | Pini, 1990 | subcutaneous heparin vs intravenous heparin | | | major hemorrhage 0.54 [0.18; 1.56] extension or recurrence of VTE 1.93 [0.36; 10.35] |
Trial | Treatments | Patients | Method |
---|
Schweizer tPA, 1998 | tPA 20 mg IV into pedal vein over 4 hours each day for 7 days. Heparin IV given
concomitantly, with adjustment (n=-9) vs. heparin IV, adjusted for 7 days (n=-9) | patients with venographically confirmed DVT of leg duration < 7 days. | single blind Parallel groups Sample size: -9/-9 Primary endpoint: FU duration: | Nielsen importé, 1994 | heparin and phenprocoumon for 3 months (n=48) vs. phenylbutazone (n=42) | | open Sample size: 48/42 Primary endpoint: FU duration: | Krahenbuhl, 1979 | subcutaneous sodic heparin 30 000 U daily (mean) (n=23) vs. intravenous sodic heparin 30 000 U daily (mean) (n=25) | | Sample size: 23/25 Primary endpoint: FU duration: | Bentley, 1980 | subcutaneous calcic heparin 37 000 U daily (mean) (n=50) vs. intravenous sodic heparin 36 800 U daily (mean) (n=50) | | Sample size: 50/50 Primary endpoint: FU duration: | Andersson, 1982 | subcutaneous sodic heparin 36 800 U daily (mean) (n=72) vs. intravenous sodic heparin 33 250 U daily (mean) (n=69) | | Sample size: 72/69 Primary endpoint: FU duration: | Hull, 1986 | subcutaneous sodic heparin 32 300 U daily (mean) (n=57) vs. intravenous sodic heparin 29 700 U daily (mean) (n=58) | | Sample size: 57/58 Primary endpoint: FU duration: | Doyle, 1987 | subcutaneous calcic heparin 29 200 U daily (mean) (n=51) vs. intravenous calcic heparin 29 600 U daily (mean) (n=52) | | Sample size: 51/52 Primary endpoint: FU duration: | Walker, 1987 | subcutaneous calcic heparin 29 375 U daily (mean) (n=50) vs. intravenous calcic heparin 24 384 U daily (mean) (n=50) | | Sample size: 50/50 Primary endpoint: FU duration: | Lopaciuk | subcutaneous sodic heparin 34 400 U daily (mean) (n=48) vs. intravenous sodic heparin 37 000 U daily (mean) (n=46) | | Sample size: 48/46 Primary endpoint: FU duration: | Pini, 1990 | subcutaneous calcic heparin 33 800 U daily (mean) (n=138) vs. intravenous sodic heparin 31 700 U daily (mean) (n=133) | | Sample size: 138/133 Primary endpoint: FU duration: |
|
venous thrombosis | versus placebo or control No demonstrated result for efficacy | 1 trial | meta-analysis | | Trial | control | p<0.05 | harm | NS |
---|
Ott importé, 1998 | heparin+warfarin vs placebo | | | Fatal PE 1.09 [0.08; 15.42] |
Trial | Treatments | Patients | Method |
---|
Ott importé, 1998 | anticoagulants (s.c. heparin followed by oral warfarin) (duration NA) (n=11) vs. s.c. saline followed by oral placebo tablets (n=12) | | double blind Sample size: 11/12 Primary endpoint: FU duration: |
|