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Interventional Management of Venous Thromboembolism: State of the Art

Harish Jarrett1, Riyaz Bashir2

  • 11 Department of Internal Medicine, Lewis Katz School of Medicine, Temple University, Philadelphia, PA.

AJR. American Journal of Roentgenology
|February 23, 2017
PubMed

Insights

Catheter-based treatments offer a new option for acute venous thromboembolism (VTE), potentially reducing long-term complications. However, bleeding risks remain a concern, necessitating standardized protocols for optimal patient care.

Area of Science:

  • Vascular Medicine
  • Interventional Cardiology
  • Thrombosis Management

Background:

  • Acute venous thromboembolism (VTE) poses significant health risks.
  • Current treatments primarily involve anticoagulation.
  • Emerging catheter-based interventions offer alternative therapeutic strategies.

Purpose of the Study:

  • To outline the indications for catheter-based treatment of acute VTE.
  • To describe the procedural approach for these interventions.
  • To review the current evidence and outcomes.

Main Methods:

  • Review of current literature and clinical guidelines.
  • Description of catheter-based techniques, including thrombectomy and thrombolysis.
  • Analysis of early clinical data and complication rates.

Main Results:

  • Catheter-based VTE treatment is increasingly adopted in the US.
  • Early data indicate potential benefits in reducing postthrombotic syndrome.
  • Improved quality of life is suggested by preliminary findings.

Conclusions:

  • Catheter-based VTE treatment is a valuable addition to anticoagulation.
  • Bleeding complications are frequent, especially in lower-volume centers.
  • Standardization of treatment protocols is crucial for enhancing patient outcomes.
Abstract

Keywords:
catheter-directed thrombolysisdeep venous thrombosispulmonary embolismvenous thromboembolism

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