Management of acute and chronic iliofemoral venous outflow obstruction: a multidisciplinary team consensus
| Autor: | James Lenton, Richard Tippett, Stephen Black, Previn Diwakar, Andrew Shawyer, Kim Fortin, Robert G. Jones, Alun H. Davies, Andrew P. Willis, Neil Davies, Prakash Saha, Anja B Drebes, N Burfitt, James Scurr, Chung S. Lim, Abdulrahman Alvi, H M Moore, Julian Hague, Sally Vrebac, Tanya Kearney, Deborah Low, Usman Shaikh, Peter Schnatterbeck, Robert S. Ward, Christopher J. Hammond, Karen Breen, Toby Richards, Shaun Quigley, David Beckett, James Metcalfe, Christopher Watts, Nick Woodward, Liz Haslam, Shirish Prabhudesai, Bhim J. Odedra, Lakshmi Ratnam, Andrew Wigham, Simon Coles, Manjit S. Gohel, Shoaib Shaikh, Sara J. Baker, Eldon D. Lehmann |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Consensus Iliac Vein 030204 cardiovascular system & hematology 030230 surgery Radiography Interventional Catheterization 03 medical and health sciences 0302 clinical medicine medicine Humans Thrombolytic Therapy Disease management (health) Intensive care medicine Patient Care Team Venous Thrombosis medicine.diagnostic_test business.industry Patient Selection Standard treatment Disease Management Interventional radiology Femoral Vein Vascular surgery medicine.disease May–Thurner syndrome Venous Obstruction United Kingdom Venous thrombosis Acute Disease Chronic Disease Cardiology and Cardiovascular Medicine business Post-thrombotic syndrome |
| Zdroj: | International Angiology. 39 |
| ISSN: | 1827-1839 0392-9590 |
| DOI: | 10.23736/s0392-9590.19.04278-0 |
| Popis: | The aim of this manuscript was to establish a consensus for the management of acute and chronic venous obstruction among specialists in the UK. Specialist physicians representing vascular surgery, interventional radiology and hematology were invited to 3 meetings to discuss management of acute and chronic iliofemoral obstruction. The meetings outlined controversial areas, included a topic-by-topic review; and on completion reached a consensus when greater than 80% agreement was reached on each topic. Physicians from 19 UK hospitals agreed on treatment protocols and highlighted areas that need development. Potential standard treatment algorithms were created. It was decided to establish a national registry of venous patients led by representatives from the treating multidisciplinary teams. Technical improvements have facilitated invasive treatment of patients with acute and chronic venous obstruction; however, the evidence guiding treatment is weak. Treatment should be conducted in centers with multi-disciplinary input; robust, coordinated data collection; and regular outcome analysis to ensure safe and effective treatment and a basis for future evolvement. |
| Databáze: | OpenAIRE |
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