Catheter-based treatment of ilio-femoral deep vein thrombosis - an update on current evidence

Fahrni, Jennifer; Engelberger, Rolf Peter; Kucher, Nils; Willenberg, Torsten Andreas; Baumgartner, Iris (2013). Catheter-based treatment of ilio-femoral deep vein thrombosis - an update on current evidence. Vasa - European journal of vascular medicine, 42(3), pp. 161-7. Bern: Huber 10.1024/0301-1526/a000264

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Ilio-femoral deep vein thrombosis (DVT) has a high rate of long-term morbidity in the form of the postthrombotic syndrome (PTS). Therefore, management of acute thrombosis should not only focus on the prevention of acute complications such as propagation or embolisation of the initial clot but also on preventing PTS and recurrent thrombosis. Contemporary catheter-based treatments of deep vein thrombosis have proven to be safe and effective in selected patients. Current guidelines recommend medical therapy with anticoagulation alone for all but the most severe, limb-threatening thrombosis. They additionally allow for consideration of catheter-based treatment in patients with acute DVT and low risk of bleeding complications to prevent PTS. Recent studies favoring interventional therapy have not been included in these guidelines. Data on long-term outcome is expected to be published soon, clarifying and very likely strengthening the role of catheter-based treatments in the management of acute ilio-femoral DVT.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Angiology

UniBE Contributor:

Fahrni, Jennifer; Engelberger, Rolf Peter; Kucher, Nils; Willenberg, Torsten Andreas and Baumgartner, Iris

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0301-1526

Publisher:

Huber

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:41

Last Modified:

07 Jul 2014 12:46

Publisher DOI:

10.1024/0301-1526/a000264

PubMed ID:

23644367

Web of Science ID:

000319484000003

URI:

https://boris.unibe.ch/id/eprint/17020 (FactScience: 224738)

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