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Erschienen in: CardioVascular and Interventional Radiology 5/2009

01.09.2009 | Review

Endovascular Treatment Options in the Management of Lower Limb Deep Venous Thrombosis

verfasst von: Sarfraz Ahmed Nazir, Arul Ganeshan, Sheraz Nazir, Raman Uberoi

Erschienen in: CardioVascular and Interventional Radiology | Ausgabe 5/2009

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Abstract

Lower limb deep vein thrombosis (DVT) is a common cause of significant morbidity and mortality. Systemic anticoagulation therapy is the mainstay of conventional treatment instituted by most physicians for the management of DVT. This has proven efficacy in the prevention of thrombus extension and reduction in the incidence of pulmonary embolism and rethrombosis. Unfortunately, especially in patients with severe and extensive iliofemoral DVT, standard treatment may not be entirely adequate. This is because a considerable proportion of these patients eventually develops postthrombotic syndrome. This is characterized by chronic extremity pain and trophic skin changes, edema, ulceration, and venous claudication. Recent interest in endovascular technologies has led to the development of an assortment of minimally invasive, catheter-based strategies to deal with venous thrombus. These comprise catheter-directed thrombolysis, percutaneous mechanical thrombectomy devices, adjuvant venous angioplasty and stenting, and inferior vena cava filters. This article reviews these technologies and discusses their current role as percutaneous treatment strategies for venous thrombotic conditions.
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Metadaten
Titel
Endovascular Treatment Options in the Management of Lower Limb Deep Venous Thrombosis
verfasst von
Sarfraz Ahmed Nazir
Arul Ganeshan
Sheraz Nazir
Raman Uberoi
Publikationsdatum
01.09.2009
Verlag
Springer-Verlag
Erschienen in
CardioVascular and Interventional Radiology / Ausgabe 5/2009
Print ISSN: 0174-1551
Elektronische ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-009-9662-z

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