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January 1, 1991Thrombosis and Haemostasis

A Randomised Trial of Subcutaneous Low Molecular Weight Heparin (CY 216) Compared with lntravenous Unfractionated Heparin in the Treatment of Deep Vein Thrombosis

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Key result

Subcutaneous low molecular weight heparin (CY 216) was more effective on phlebographic scores than continuous intravenous unfractionated heparin in 166 patients with deep vein thrombosis.

Why the study?

Does subcutaneous low molecular weight heparin (CY 216) improve phlebographic scores compared to intravenous unfractionated heparin in patients with deep vein thrombosis?

Population

166 patients with deep vein thrombosis

Comparison

Subcutaneous low molecular weight heparin in… vs Continuous intravenous unfractionated heparin…

Design

RCT, randomised, blind quantitative evaluation of venograms

Authors

JNJ. NinetUniversité de PoitiersPBPh. BachetCentre Hospitalier Saint-Joseph Saint-LucPPPaolo PrandoniVascular Medicine

Discussion

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Implication

Supports subcutaneous LMWH for DVT; extends RCT evidence favoring it over IV UFH.

Study Design

Type

RCT (n=166)

Blinding

Blinded evaluation of venograms

Randomization

Randomized

Structured PICO

Does subcutaneous low molecular weight heparin (CY 216) improve phlebographic scores compared to intravenous unfractionated heparin in patients with deep vein thrombosis?

P
Population
166 patients with deep vein thrombosis.
I
Intervention
Subcutaneous low molecular weight heparin (CY 216) in fixed doses based only on body weight
C
Comparator
Continuous intravenous unfractionated heparin with daily dose adjustment according to results of coagulation tests
O
Outcome
Arnesen and Marder phlebographic scores evaluated by blind quantitative venogramssurrogate

Subcutaneous low molecular weight heparin (CY 216) is more effective than continuous intravenous unfractionated heparin for treating deep vein thrombosis, without increasing bleeding or embolic risks.

Cite This Study

Ninet et al. (1991) conducted an RCT in Deep vein thrombosis (n=166). Subcutaneous low molecular weight heparin (CY 216) vs. Continuous intravenous unfractionated heparin was evaluated on Arnesen and Marder phlebographic scores. Subcutaneous low molecular weight heparin (CY 216) was more effective on phlebographic scores than continuous intravenous unfractionated heparin in 166 patients with deep vein thrombosis.

synapsesocial.com/papers/6a93e8d040c15fb141fc0e54https://doi.org/10.1055/s-0038-1647660
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Subcutaneous Heparin Treatment of Deep Venous Thrombosis: A Comparison of Unfractionated and Low Molecular Weight Heparin2009 · 139 citations
  2. 2Treatment of Deep Venous Thrombosis With Low-Molecular-Weight Heparins1995 · 286 citations
  3. 3Therapeutic Application of Subcutaneous Low-Molecular-Weight Heparin in Acute Venous Thrombosis2009 · 74 citations
  4. 4The Treatment of Proximal Vein Thrombosis with Subcutaneous Low-Mole Molecular-Weight Heparin Compared with Continuous Intravenous Heparin1995 · 6 citations
  5. 5Treatment of deep venous thrombosis with low-molecular-weight heparins. A meta-analysis1995 · 423 citations