Management of Cavoatrial Deep Venous Thrombosis: Incorporating New Strategies

Mohamed A. Zayed, Gayan S. De Silva, Raja S. Ramaswamy, Luis A. Sanchez

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

Cavoatrial deep venous thrombosis (DVT) is diagnosed with increasing prevalence. It can be managed medically with anticoagulation or with directed interventions aimed to efficiently reduce the thrombus burden within the target venous segment. The type of management chosen depends greatly on the etiology and chronicity of the thrombosis, existing patient comorbidities, and the patient's tolerance to anticoagulants and thrombolytic agents. In addition to traditional percutaneous catheter-based pharmacomechanical thrombolysis, other catheter-based suction thrombectomy techniques have emerged in recent years. Each therapeutic modality requires operator expertise and a coordinated care paradigm to facilitate successful outcomes. Open surgical thrombectomy is alternatively reserved for specific patient conditions, including intolerance of anticoagulation, failed catheter-based interventions, or acute emergencies.

Original languageEnglish
Article number00989
Pages (from-to)25-34
Number of pages10
JournalSeminars in Interventional Radiology
Volume34
Issue number1
DOIs
StatePublished - Mar 1 2017

Keywords

  • deep venous thrombosis
  • thrombectomy
  • thrombolysis

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