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2025 ESVM Guidelines on interventional treatment of venous thromboembolism

Oliver Schlager1, Elena Campello2, Juraj Madaric3

  • 1Division of Angiology, Department of Medicine II, Medical University of Vienna, Vienna, Austria.

VASA. Zeitschrift Fur Gefasskrankheiten
|June 30, 2025
PubMed

Insights

Catheter-based therapy (CBT) for acute venous thromboembolism (VTE) is growing. Guidelines are needed for indications and management of CBT, including catheter-directed thrombolysis and mechanical thrombectomy, involving vascular experts.

Area of Science:

  • Vascular Medicine
  • Interventional Cardiology
  • Thrombosis Management

Background:

  • Catheter-based therapy (CBT) for acute venous thromboembolism (VTE), including deep vein thrombosis (DVT) and pulmonary embolism (PE), is increasingly utilized.
  • Advancements in thrombectomy systems have improved the efficacy of interventional VTE treatment.

Purpose of the Study:

  • To establish evidence-based indications for CBT in acute VTE.
  • To provide expert consensus on the management of CBT for VTE.
  • To guide vascular experts in decision-making for CBT procedures.

Main Methods:

  • Development of clinical guidelines based on existing data.
  • Incorporation of expert consensus from vascular medicine specialists.
  • Endorsement by European national societies of Vascular Medicine.

Main Results:

  • Recommendations for indications of CBT in acute VTE.
  • Guidelines for the management of CBT procedures.
  • Emphasis on the role of vascular experts and experienced centers.

Conclusions:

  • Clear indications and management strategies for CBT in acute VTE are essential.
  • Vascular expert involvement is crucial for optimal patient outcomes.
  • Procedures should be performed in specialized centers for interventional VTE treatment.

Keywords:
Thrombus removalcatheter directed thrombolysiscatheter-based treatmentdeep vein thrombosisguidelinespulmonary embolismvenous thromboembolism

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