Intervention radiology for venous thrombosis: early thrombus removal using invasive methods

Ana I. Casanegra, Robert D. McBane, Haraldur Bjarnason

Research output: Contribution to journalReview article

4 Scopus citations

Abstract

The post thrombotic syndrome is one of the most dreaded complications of proximal deep vein thrombosis. This syndrome leads to pain and suffering with leg swelling, recalcitrant ulceration and venous claudication which greatly impairs mobility and quality of life. The prevalence can be high in patients with iliofemoral venous involvement particularly in the setting of a proximal venous stenosis, such as occurs in May Thurner syndrome. Anticoagulation alone does not reduce the likelihood of this outcome. Compression therapy may be effective but garment discomfort limits its implementation. Pharmacomechanical thrombectomy, which combines catheter-directed thrombolysis with mechanical thrombus dissolution, provides an attractive treatment strategy for such patients. The rationale and delivery of pharmacomechanical thrombectomy, including patient selection and adjunctive antithrombotic therapy, will be reviewed in addition to tips and tricks for managing difficult patient scenarios.

Original languageEnglish (US)
Pages (from-to)173-184
Number of pages12
JournalBritish Journal of Haematology
Volume177
Issue number2
DOIs
StatePublished - Apr 1 2017

Keywords

  • anticoagulation
  • mechanical thrombolysis
  • stents
  • thrombolytic therapy
  • venous thrombosis

ASJC Scopus subject areas

  • Hematology

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