Inflammation in deep vein thrombosis: a therapeutic target?

Hematology. 2019 Dec;24(1):742-750. doi: 10.1080/16078454.2019.1687144.

Abstract

Deep vein thrombosis is a common disease associated with a variety of complications including post-thrombotic syndrome as a late complication. It is now clear that in addition to classical deep vein thrombosis triggers such as blood flow disturbance, hypercoagulability, and vessel wall changes, inflammation has a key role in the pathophysiology of deep vein thrombosis, and there is a close relationship between inflammation and coagulation. As attested by changes in several plasma biomarkers, inflammation may have a significant role in the development of post-thrombotic syndrome. Here, we review the link between inflammation and deep vein thrombosis and thus the potential value of anti-inflammatory and/or anticoagulant drugs in the treatment of deep vein thrombosis and the prevention of post-thrombotic syndrome.

Keywords: CRP; DOAC; Deep vein thrombosis; P-selectin; heparin; inflammation; neutrophil extracellular traps (NETs); post-thrombotic syndrome.

Publication types

  • Review

MeSH terms

  • Humans
  • Inflammation / complications*
  • Venous Thrombosis / pathology
  • Venous Thrombosis / therapy*