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Venous thromboembolism: anticoagulation, lysis, or filter?

J G Robison1, B M Elliott

  • 1Department of Surgery, Medical University of South Carolina, Charleston 29425.

Journal of the South Carolina Medical Association (1975)
|August 1, 1991
PubMed

Experience and review of the literature suggest that when deep venous thrombosis does occur, standard anticoagulation with heparin followed by Coumadin is the mainstay of treatment for both deep venous thrombosis and pulmonary emboli. However, thrombolytic therapy with urokinase or streptokinase may benefit selected patients. Percutaneous caval interruption is the optimal technique to prevent pulmonary embolization, but should be reserved for patients who have contraindications to anticoagulation therapy or recurrent emboli despite adequate anticoagulation. Selected high risk patients may also be candidates for caval interruption.

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