The Role of Interventional Radiology in the Management of Deep Venous Thrombosis: Advanced Therapy

Deep vein thrombosis (DVT) is often managed with a health care pathway that funnels patients to anticoagulation therapy alone. This “usual treatment” is designed to stop propagation and embolisation of venous thrombus but not remove it. Surgical thrombectomy was once the only option in severe cases...

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Bibliographic Details
Published in:Cardiovascular and interventional radiology 2011-06, Vol.34 (3), p.445-461
Main Author: O’Sullivan, Gerard J.
Format: Article
Language:English
Subjects:
Angioplasty - methods
Anticoagulants - therapeutic use
BLOOD VESSELS
BODY
Cardiology
CARDIOVASCULAR DISEASES
CARDIOVASCULAR SYSTEM
Catheterization
Diagnostic Imaging
DISEASES
Humans
Imaging
LIMBS
MEDICINE
Medicine & Public Health
Minimally Invasive Surgical Procedures
NUCLEAR MEDICINE
ORGANS
Patient Selection
PATIENTS
Punctures
Radiography, Interventional
RADIOLOGY
RADIOLOGY AND NUCLEAR MEDICINE
Review
Stents
Suction
SURGERY
SYMPTOMS
THERAPY
Thrombectomy - methods
THROMBOSIS
Triage
Ultrasonography, Interventional
Ultrasound
VASCULAR DISEASES
VEINS
Vena Cava Filters
Venous Thrombosis - diagnosis
Venous Thrombosis - therapy
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Description
Summary:Deep vein thrombosis (DVT) is often managed with a health care pathway that funnels patients to anticoagulation therapy alone. This “usual treatment” is designed to stop propagation and embolisation of venous thrombus but not remove it. Surgical thrombectomy was once the only option in severe cases in which limbs were threatened, but thrombus removal is no longer restricted to emergency cases. Interventional radiologists are now using advanced endovascular techniques to achieve thrombus removal in a minimally invasive manner in a very short treatment time, thereby quickly restoring patency, relieving acute symptoms, and potentially limiting the subsequent development of postthrombotic syndrome when followed with anticoagulation and compression regimens. This article provides an overview of the interventions available for treating DVT. One of the newer “single-session” techniques is isolated pharmacomechanical thrombolysis, which is described here in detail with supporting cases.
ISSN:0174-1551
1432-086X
DOI:10.1007/s00270-010-9977-9