Venous thromboembolic disease

Surg Clin North Am. 2013 Aug;93(4):983-95, x. doi: 10.1016/j.suc.2013.05.003.

Abstract

Venous thromboembolic disease is extremely common. Conventional treatment with anticoagulation alone aims to impede the progression of thrombus, and prevent recurrence and the development of pulmonary embolism. This is appropriate for most patients. However, in certain patient populations, this alone does not address the long-term complications of venous thromboembolic disease. Surgeons should be familiar with the surgical techniques that have been demonstrated to improve outcomes with low risk. Recent studies of catheter-directed thrombolysis have demonstrated its safety, efficacy, and possibly the superiority over standard treatment alone.

Keywords: Post-thrombotic syndrome; Thrombectomy; Thromboembolism; Thrombolysis.

Publication types

  • Review

MeSH terms

  • Aged
  • Algorithms
  • Anticoagulants / therapeutic use
  • Early Diagnosis
  • Female
  • Fibrin Fibrinogen Degradation Products / metabolism
  • Humans
  • Magnetic Resonance Angiography
  • Male
  • Middle Aged
  • Practice Guidelines as Topic
  • Risk Assessment
  • Risk Factors
  • Thrombectomy / methods
  • Thrombolytic Therapy / methods
  • Tomography, X-Ray Computed
  • Ultrasonography, Doppler
  • Venous Thromboembolism / diagnosis
  • Venous Thromboembolism / drug therapy
  • Venous Thromboembolism / surgery*

Substances

  • Anticoagulants
  • Fibrin Fibrinogen Degradation Products
  • fibrin fragment D