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Management of acute and chronic iliofemoral venous outflow obstruction: a multidisciplinary team consensus

Stephen A Black1, Abdulrahman Alvi2, Sara J Baker3

  • 1Guy's and St Thomas' NHS Foundation Trust, London, UK - Stephen.Black@gstt.nhs.uk.

International Angiology : a Journal of the International Union of Angiology
|December 10, 2019
PubMed

Insights

UK specialists reached a consensus on managing acute and chronic venous obstruction, developing treatment protocols and algorithms. A national registry will improve data collection and patient outcomes.

Area of Science:

  • Vascular Medicine
  • Interventional Radiology
  • Hematology

Background:

  • Acute and chronic venous obstruction present complex management challenges.
  • Existing evidence guiding treatment for venous obstruction is limited.
  • Multidisciplinary input is crucial for effective patient care.

Purpose of the Study:

  • To establish a consensus on the management of acute and chronic venous obstruction among UK specialists.
  • To develop standardized treatment protocols and algorithms for iliofemoral obstruction.
  • To identify areas requiring further research and development in venous obstruction management.

Main Methods:

  • Convened three meetings with specialist physicians from vascular surgery, interventional radiology, and hematology.
  • Conducted topic-by-topic reviews of controversial areas in venous obstruction management.
  • Achieved consensus on management strategies when agreement exceeded 80% among participants.

Main Results:

  • Developed agreed-upon treatment protocols and potential standard treatment algorithms for venous obstruction.
  • Physicians from 19 UK hospitals contributed to the consensus.
  • Identified key areas for future development in the field.

Conclusions:

  • Consensus was reached on management protocols for acute and chronic venous obstruction.
  • Establishment of a national registry for venous patients is recommended.
  • Treatment should occur in multidisciplinary centers with robust data collection and outcome analysis.

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