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Management of Cavoatrial Deep Venous Thrombosis: Incorporating New Strategies

Mohamed A Zayed1, Gayan S De Silva2, Raja S Ramaswamy3

  • 1Section of Vascular Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, Missouri; Department of Surgery, Veterans Affairs St. Louis Health Care System, St. Louis, Missouri.

Seminars in Interventional Radiology
|March 8, 2017
PubMed

Insights

Cavoatrial deep venous thrombosis (DVT) management varies based on patient factors and clot characteristics. Treatment options include anticoagulation, catheter-based interventions like pharmacomechanical thrombolysis or suction thrombectomy, and open surgery.

Area of Science:

  • Vascular Surgery
  • Interventional Cardiology
  • Hematology

Background:

  • Cavoatrial deep venous thrombosis (DVT) is increasingly diagnosed.
  • Management decisions are influenced by thrombosis etiology, chronicity, patient comorbidities, and tolerance to treatments.

Purpose of the Study:

  • To outline current management strategies for cavoatrial deep venous thrombosis (DVT).
  • To discuss the spectrum of available therapeutic interventions for DVT.

Main Methods:

  • Review of medical literature on cavoatrial DVT management.
  • Discussion of anticoagulation, pharmacomechanical thrombolysis, suction thrombectomy, and open surgical thrombectomy.

Main Results:

  • Treatment selection is individualized based on clinical presentation and patient-specific factors.
  • Catheter-based interventions, including suction thrombectomy, offer alternatives to traditional thrombolysis.
  • Open surgical thrombectomy remains an option for specific complex cases.

Conclusions:

  • Effective management of cavoatrial DVT requires a tailored approach.
  • A coordinated care paradigm and operator expertise are crucial for successful outcomes.
  • The choice between medical, endovascular, and surgical interventions depends on a comprehensive assessment of the patient and the thrombosis.

Keywords:
deep venous thrombosisthrombectomythrombolysis

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