Endovascular therapy for advanced post-thrombotic syndrome: Proceedings from a multidisciplinary consensus panel

Suresh Vedantham, Susan R. Kahn, Samuel Z. Goldhaber, Anthony J. Comerota, Sameer Parpia, Sreelatha Meleth, Diane Earp, Rick Williams, Akhilesh K. Sista, William Marston, Suman Rathbun, Elizabeth A. Magnuson, Mahmood K. Razavi, Michael R. Jaff, Clive Kearon

Research output: Contribution to journalArticlepeer-review

44 Scopus citations

Abstract

Patients with advanced post-thrombotic syndrome (PTS) and chronic iliac vein obstruction suffer major physical limitations and impairment of health-related quality of life. Currently there is a lack of evidence-based treatment options for these patients. Early studies suggest that imaging-guided, catheter-based endovascular therapy can eliminate iliac vein obstruction and saphenous venous valvular reflux, resulting in reduced PTS severity; however, these observations have not been rigorously validated. A multidisciplinary expert panel meeting was convened to plan a multicenter randomized controlled clinical trial to evaluate endovascular therapy for the treatment of advanced PTS. This article summarizes the findings of the panel, and is expected to assist in developing a National Institutes of Health-sponsored clinical trial and other studies to improve the care of patients with advanced PTS.

Original languageEnglish
Pages (from-to)400-407
Number of pages8
JournalVascular Medicine (United Kingdom)
Volume21
Issue number4
DOIs
StatePublished - Aug 1 2016

Keywords

  • deep vein thrombosis
  • endovascular therapy
  • post-thrombotic syndrome
  • quality of life
  • stent

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