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[Prevention of Postthrombotic Syndrom]
Ulrike Hügel1, Iris Baumgartner1
11 Universitätsklinik für Angiologie, Inselspital Bern.
Praxis
|November 26, 2015
Summary
Post-thrombotic syndrome (PTS) is a complication following deep vein thrombosis. Treatment options for PTS vary by phase, including catheter-directed lysis, compression therapy, endovascular stenting, and surgery.
Area of Science:
- Vascular Medicine
- Interventional Cardiology
- Phlebology
Context:
- Post-thrombotic syndrome (PTS) is a common complication after deep vein thrombosis (DVT).
- Optimal anticoagulation does not always prevent PTS development.
- PTS encompasses a range of clinical symptoms and skin manifestations following DVT.
Purpose:
- To outline therapeutic strategies for managing post-thrombotic syndrome.
- To detail treatment options based on the time elapsed since deep vein thrombosis.
Summary:
- Catheter-directed lysis is effective in the acute phase of pelvic vein thrombosis.
- Compression therapy is recommended from the acute to the chronic phase.
- Endovascular stenting for pelvic vein recanalization and surgical/ablation options for superficial veins offer chronic phase improvements.
Impact:
- Provides a phased treatment approach for PTS.
- Highlights interventional and surgical options for venous outflow restoration.
- Aims to improve clinical outcomes and quality of life for DVT patients.
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