| Autor: |
Strijkers RH; Afd. Vaatchirurgie en CARIM, Maastricht Universitair Medisch Centrum, Maastricht, the Netherlands. R.Strijkers@maastrichtuniversity.nl, ten Cate-Hoek AJ, Grommes J, Arnoldussen C, Wittens CH |
| Jazyk: |
Dutch; Flemish |
| Zdroj: |
Nederlands tijdschrift voor geneeskunde [Ned Tijdschr Geneeskd] 2012; Vol. 156 (36), pp. A4759. |
| Abstrakt: |
Despite optimal treatment of acute deep-vein thrombosis (DVT) there is a great chance of recurrent DVT and development of post-thrombotic syndrome (PTS) in the long term. The degree of spontaneous recanalization differs per patient and per thrombus location. 90% of all femoropopliteal occlusions will fully recanalize within 1 year; however, in the case of an iliofemoral thrombosis, recanalization occurs only in a minority of cases. Post-thrombotic complications occur more often following iliofemoral thrombosis, and the chance of recurrent thrombosis is greater than following thrombosis in a more distal location. An anatomical variation or abnormality also more often underlies an iliofemoral thrombosis. It is important to identify patients with a greater chance of developing PTS promptly and to treat them in order to prevent post-thrombotic damage. There are still insufficient trial data available to implement catheter-directed thrombolysis as standard therapy for iliofemoral thrombosis |
| Databáze: |
MEDLINE |
| Externí odkaz: |
|
