
Thigh Hematoma After Femoral Venipuncture in a Patient Treated With Low-Molecular-Weight Heparin
Arch Intern Med. 2001;161:1113-1114.
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Low-molecular-weight heparin (LMWH) has several advantages over conventional
unfractionated heparin in the prevention and treatment of deep venous thrombosis
(DVT).1 Enoxaparin is a LMWH approved for
several indications such as unstable angina, nonQ-wave myocardial infarction,
and DVT.2-3 There are reports
of epidural or spinal hematomas after spinal puncture in patients being treated
with enoxaparin that can result in permanent paralysis.2
We describe a patient who developed a debilitating soft tissue hematoma after
femoral venipunctures while being treated with enoxaparin.
Report of a Case
A 74-year-old man (weight, 80 kg) was admitted with DVT of the left
popliteal vein. Treatment was started with 80 mg of enoxaparin subcutaneously
twice daily. On the second day, an inferior vena caval filter was inserted
through the right femoral vein because of concerns regarding his compliance.
Exploration and direct visual cannulation of the right common femoral vein
was performed because the initial 2 percutaneous attempts were unsuccessful.
Enoxaparin administration . . . [Full Text of this Article] Comment
RELATED LETTER
A Correct Evaluation of Renal Function Could Decrease Bleeding Risk in Anticoagulated Elderly Patients
Enrique Antón
Arch Intern Med. 2005;165(3):349-350.
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A Correct Evaluation of Renal Function Could Decrease Bleeding Risk in Anticoagulated Elderly Patients
Anton
Arch Intern Med 2005;165:349-350.
FULL TEXT
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