ACR Appropriateness Criteria® Radiologic Management of Iliofemoral Venous Thrombosis
| Autor: | Nicholas Fidelman, Baljendra Kapoor, Eric J. Hohenwalter, Thomas R Cain, Joseph J McBride, Jeet Minocha, Amit Gupta, Khashayar Farsad, Mikhail C.S.S. Higgins, Margaret H. Lee, Drew M. Caplin, Jens Eldrup-Jorgensen, Jonathan M. Lorenz, Patrick D. Sutphin, Paul J. Rochon |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Thrombolysis medicine.disease Recurrent deep vein thrombosis Appropriate Use Criteria 030218 nuclear medicine & medical imaging Pulmonary embolism 03 medical and health sciences Venous thrombosis Catheter 0302 clinical medicine Deep vein thrombosis (DVT) 030220 oncology & carcinogenesis medicine Radiology Nuclear Medicine and imaging Intensive care medicine business Medical literature |
| Zdroj: | Journal of the American College of Radiology. 17:S255-S264 |
| ISSN: | 1546-1440 |
| DOI: | 10.1016/j.jacr.2020.01.035 |
| Popis: | Iliofemoral venous thrombosis carries a high risk for pulmonary embolism, recurrent deep vein thrombosis, and post-thrombotic syndrome complicating 30% to 71% of those affected. The clinical scenarios in which iliofemoral venous thrombosis is managed may be diverse, presenting a challenge to identify optimum therapy tailored to each situation. Goals for management include preventing morbidity from venous occlusive disease, and morbidity and mortality from pulmonary embolism. Anticoagulation remains the standard of care for iliofemoral venous thrombosis, although a role for more aggressive therapies with catheter-based interventions or surgery exists in select circumstances. Results from recent prospective trials have improved patient selection guidelines for more aggressive therapies, and have also demonstrated a lack of efficacy for certain conservative therapies. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment. |
| Databáze: | OpenAIRE |
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