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Iliofemoral deep vein thrombosis: Percutaneous endovascular treatment options

Kathleen Rich1

  • 1IU Health La Porte Hospital, 1007 Lincolnway, La Porte, IN 46350.

Journal of Vascular Nursing : Official Publication of the Society for Peripheral Vascular Nursing
|May 31, 2015
PubMed

Insights

Early clot removal for deep vein thrombosis (DVT) using percutaneous catheter-directed (PCD) therapies may reduce postthrombotic syndrome (PTS) complications. This overview details PCD interventions for acute iliofemoral DVT and nursing considerations.

Area of Science:

  • Vascular Medicine
  • Interventional Cardiology
  • Thrombosis Management

Background:

  • Deep vein thrombosis (DVT), often affecting lower extremities, can lead to pulmonary embolism.
  • Anticoagulation is standard for DVT, but up to 50% of patients develop postthrombotic syndrome (PTS).
  • Early clot removal, particularly for iliofemoral DVT, aims to preserve valve function and prevent PTS.

Purpose of the Study:

  • To provide an overview of percutaneous catheter-directed (PCD) therapies for acute iliofemoral DVT.
  • To discuss the evolving endovascular devices used in managing acute iliofemoral DVT.
  • To highlight associated nursing considerations for PCD interventions in DVT treatment.

Main Methods:

  • Review of percutaneous catheter-directed (PCD) interventions for acute iliofemoral DVT.
  • Description of various PCD procedures including thrombolysis, mechanical thrombectomy, and pharmacomechanical devices.
  • Exclusion of off-label device use in the presented therapies.

Main Results:

  • Percutaneous catheter-directed (PCD) therapies represent an evolving treatment modality for acute iliofemoral DVT.
  • Available PCD procedures include catheter-directed thrombolysis, mechanical thrombectomy, and pharmacomechanical devices.
  • These endovascular approaches aim to facilitate early clot removal.

Conclusions:

  • Percutaneous catheter-directed (PCD) interventions offer an alternative or adjunct to anticoagulation for acute iliofemoral DVT.
  • Early mechanical or pharmacomechanical clot removal may mitigate the risk of developing long-term complications like PTS.
  • Understanding PCD therapies and nursing implications is crucial for effective DVT management.

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